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General NPI Number Information
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NPI Number | 1194309914
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Entity Type | Individual
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Provider Name | RASHA MOHAMMED ABDULRIDHA MD
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Gender | Female
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Dates
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Enumeration Date | 05/07/2021
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 4201 SAINT ANTOINE ST # 7A
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 248-822-9801
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Fax | 313-966-8111
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Provider Business Mailing Address
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Address Line | 4201 SAINT ANTOINE ST # 7A
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 313-822-9801
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Fax | 313-966-8111
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 4301510188
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 4301510188
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License Number State | MI
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