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General NPI Number Information
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NPI Number | 1164648473
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Entity Type | Organization
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Legal Business Name | IBIN SINA CENTER FOR CARDIAC & VASCULAR DISEASE PLLC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 20225 ANN ARBOR TRL SUITE A
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-2690
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Country | US
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Telephone | 313-529-3939
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Fax | 888-828-7361
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Provider Business Mailing Address
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Address Line | 20225 ANN ARBOR TRL SUITE A
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-2690
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Country | US
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Telephone | 313-529-3939
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Fax | 888-828-7361
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Authorized Official
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Title or Position | OWNER
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Name | DR. FARID FARAJ ZAYED
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Credential | MD
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Telephone | 313-945-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301060425
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License Number State | MI
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