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General NPI Number Information
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NPI Number | 1184854440
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Entity Type | Organization
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Legal Business Name | ANWAR GHUZNAVI
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 07/21/2009
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Provider Practice Location Address
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Address Line | 11604 JOSEPH CAMPAU ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3045
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Country | US
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Telephone | 313-891-2300
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Fax | 313-891-2300
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Provider Business Mailing Address
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Address Line | 11604 JOSEPH CAMPAU ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3045
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Country | US
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Telephone | 313-891-2300
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Fax | 313-891-2300
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Authorized Official
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Title or Position | OWNER
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Name | ANWAR HUSSAIN GHUZNAVI
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Credential | MD
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Telephone | 313-871-2300
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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 |
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License Number State | MI
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