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General NPI Number Information
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NPI Number | 1265470991
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Entity Type | Individual
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Provider Name | SONIA SHAWKY HASSAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 3980 JOHN R 4 WEBBER HUTZEL WOMEN'S HOSPITAL
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City | DETROIT
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State | MI
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Zip | 48201-2018
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Country | US
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Telephone | 313-745-7641
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Fax | 313-993-4444
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Provider Business Mailing Address
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Address Line | 1560 E. MAPLE RD. SUITE 400-CREDENTIALING
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City | TROY
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State | MI
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Zip | 48083-1138
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Country | US
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Telephone | 248-581-5970
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Fax | 248-581-5640
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301064109
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 4301064109
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License Number State | MI
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