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General NPI Number Information
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NPI Number | 1235936824
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Entity Type | Organization
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Legal Business Name | ADOBE HEALTH INC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 21999 FARMINGTON RD STE 200
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City | FARMINGTON
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State | MI
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Zip | 48336-4420
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Country | US
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Telephone | 248-797-3233
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Fax | 248-522-7289
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Provider Business Mailing Address
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Address Line | 21999 FARMINGTON RD STE 200
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City | FARMINGTON
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State | MI
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Zip | 48336-4420
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Country | US
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Telephone | 248-797-3233
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Fax | 248-522-7289
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABIZER ALI
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Credential | AGNP-C
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Telephone | 248-797-3233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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