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General NPI Number Information
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NPI Number | 1184649972
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Entity Type | Organization
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Legal Business Name | SAQIB RAZAQ, M.D.,P.C.
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 06/10/2013
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Provider Practice Location Address
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Address Line | 1492 N MONROE ST
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City | MONROE
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State | MI
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Zip | 48162-4210
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Country | US
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Telephone | 734-457-3100
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Fax | 734-457-3200
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Provider Business Mailing Address
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Address Line | 1492 N MONROE ST
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City | MONROE
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State | MI
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Zip | 48162-4210
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Country | US
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Telephone | 734-457-3100
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Fax | 734-457-3200
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SAQIB RAZAQ
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Credential | M.D.
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Telephone | 734-457-3100
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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 | SR075015
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License Number State | MI
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