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General NPI Number Information
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NPI Number | 1104134378
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Entity Type | Organization
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Legal Business Name | JAIN SYED MD PC
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 714 S TRUMBULL ST
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City | BAY CITY
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State | MI
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Zip | 48708-4217
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Country | US
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Telephone | 989-892-6333
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Fax | 989-892-6411
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Provider Business Mailing Address
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Address Line | 714 S TRUMBULL ST
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City | BAY CITY
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State | MI
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Zip | 48708-4217
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Country | US
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Telephone | 989-892-6333
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Fax | 989-892-6411
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAINULLABDIN SYED
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Credential | M.D.
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Telephone | 989-892-6333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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