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General NPI Number Information
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NPI Number | 1144818436
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Entity Type | Organization
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Legal Business Name | NEUROSURGERY AND SPINE CARE PLLC
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Dates
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Enumeration Date | 01/04/2021
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 28592 ORCHARD LAKE RD STE 333
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2903
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Country | US
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Telephone | 855-785-1110
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Fax | 248-282-0866
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Provider Business Mailing Address
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Address Line | 1221 BOWERS ST UNIT 940
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City | BIRMINGHAM
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State | MI
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Zip | 48012-7037
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Country | US
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Telephone | 855-785-1110
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Fax | 248-282-0866
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Authorized Official
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Title or Position | OWNER
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Name | HAZEM ELTAHAWY
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Credential | MD
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Telephone | 248-480-5424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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