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General NPI Number Information
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NPI Number | 1134864770
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Entity Type | Organization
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Legal Business Name | MACOMB PAIN MANAGEMENT
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 8152 25 MILE RD STE B
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-1904
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Country | US
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Telephone | 248-844-8281
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Fax |
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Provider Business Mailing Address
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Address Line | 8152 25 MILE RD STE B
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-1904
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Country | US
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Telephone | 248-844-8281
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Fax | 248-844-9105
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Authorized Official
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Title or Position | MEMBER
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Name | DR. SYED ABBAS MOOSAVI
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Credential | MEDICAL DOCTOR
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Telephone | 516-761-5083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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