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General NPI Number Information
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NPI Number | 1134143654
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Entity Type | Organization
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Legal Business Name | ADVANCED SLEEP NEURODIAGNOSTICS, PC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 04/02/2008
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Provider Practice Location Address
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Address Line | 24001 ORCHARD LAKE RD SUITE #140
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-2555
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Country | US
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Telephone | 248-442-3700
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Fax | 248-442-8860
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Provider Business Mailing Address
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Address Line | 24001 ORCHARD LAKE RD SUITE #140
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-2555
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Country | US
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Telephone | 248-442-3700
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Fax | 248-442-8860
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMMED I. ZAHOOR
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Credential | MD
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Telephone | 248-442-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | 4301062300
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License Number State | MI
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