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General NPI Number Information
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NPI Number | 1265233514
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Entity Type | Organization
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Legal Business Name | FUNCTIONAL ENDOCRINOLOGIST PLLC
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Dates
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Enumeration Date | 03/22/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 21090 ALLEN RD
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City | WOODHAVEN
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State | MI
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Zip | 48183-1602
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Country | US
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Telephone | 734-282-1800
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Fax | 734-287-0777
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Provider Business Mailing Address
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Address Line | 21090 ALLEN RD
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City | WOODHAVEN
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State | MI
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Zip | 48183-1602
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Country | US
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Telephone | 734-282-1800
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Fax | 734-287-0777
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Authorized Official
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Title or Position | MD
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Name | SAADIA MIAN
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Credential |
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Telephone | 734-844-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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