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General NPI Number Information
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NPI Number | 1174776033
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Entity Type | Organization
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Legal Business Name | PLASTIC SURGERY AFFILIATES PC
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 10/08/2015
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Provider Practice Location Address
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Address Line | 30603 SOUTHFIELD RD
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City | SOUTHFIELD
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State | MI
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Zip | 48076-7729
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Country | US
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Telephone | 248-355-9911
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Fax | 248-355-9961
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Provider Business Mailing Address
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Address Line | 30603 SOUTHFIELD RD
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City | SOUTHFIELD
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State | MI
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Zip | 48076-7729
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Country | US
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Telephone | 248-355-9911
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Fax | 248-355-9961
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Authorized Official
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Title or Position | PRESIDENT
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Name | HASHIM M. ALANI
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Credential | M.D.
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Telephone | 248-355-9911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 032600
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 032600
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License Number State | MI
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