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General NPI Number Information
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NPI Number | 1225062342
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Entity Type | Organization
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Legal Business Name | MAHMOUD ALHADIDI MD PC
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2498 S ROCHESTER RD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-3817
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Country | US
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Telephone | 248-299-0361
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Fax | 248-299-4224
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Provider Business Mailing Address
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Address Line | PO BOX 8385
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City | BLOOMFIELD
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State | MI
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Zip | 48302-8385
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Country | US
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Telephone | 248-299-0361
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Fax | 248-299-4224
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Authorized Official
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Title or Position | OWNER
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Name | MAHMOUD ALHADIDI
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Credential | MD
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Telephone | 248-299-0361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 052328
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License Number State | MI
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