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General NPI Number Information
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NPI Number | 1144201880
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Entity Type | Organization
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Legal Business Name | MEDICURE INTERNISTS PC
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 24060 W 9 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3904
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Country | US
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Telephone | 313-443-6027
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Fax | 313-241-9401
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Provider Business Mailing Address
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Address Line | 24060 W 9 MILE RD
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3904
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Country | US
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Telephone | 313-443-6027
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Fax | 313-241-9401
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. SHABANA RASHEED
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Credential | MD
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Telephone | 313-443-6027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301064947
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License Number State | MI
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