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General NPI Number Information
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NPI Number | 1104864784
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Entity Type | Individual
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Provider Name | DR. HASSAN MAKKI
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 6071 W OUTER DR SUITE M444
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City | DETROIT
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State | MI
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Zip | 48235-2624
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Country | US
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Telephone | 313-966-3075
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 321061
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City | DETROIT
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State | MI
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Zip | 48232-1061
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Country | US
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Telephone | 248-543-8070
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Fax | 248-543-9005
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | HM061737
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 4301061737
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License Number State | MI
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