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General NPI Number Information
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NPI Number | 1194997338
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Entity Type | Individual
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Provider Name | SAMER BAKHOS M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 7534 HIGHWAY 1
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City | LOCKPORT
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State | LA
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Zip | 70374-3437
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Country | US
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Telephone | 800-979-9595
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Fax | 248-662-9845
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Provider Business Mailing Address
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Address Line | 21333 HAGGERTY RD. SUITE 150
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City | NOVI
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State | MI
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Zip | 48375-5514
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Country | US
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Telephone | 800-979-9595
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Fax | 248-662-9845
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 204682
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 204682
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License Number State | LA
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