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General NPI Number Information
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NPI Number | 1245425511
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Entity Type | Organization
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Legal Business Name | AAA HEALTH CENTERS
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/10/2007
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Provider Practice Location Address
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Address Line | 571 JOSLYN RD
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City | LAKE ORION
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State | MI
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Zip | 48362-2116
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Country | US
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Telephone | 248-814-0506
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Fax | 809-532-7899
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Provider Business Mailing Address
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Address Line | 571 JOSLYN RD
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City | LAKE ORION
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State | MI
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Zip | 48362-2116
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Country | US
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Telephone | 248-814-0506
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Fax | 809-532-7899
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAKIL AHMED KHAN
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Credential | MD
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Telephone | 248-814-0506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number | 0000000
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License Number State | MI
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