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General NPI Number Information
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NPI Number | 1265623276
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Entity Type | Organization
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Legal Business Name | LAPEER PEDIATRICS, P.C.
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1083 SUNCREST DR SUITE-A
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City | LAPEER
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State | MI
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Zip | 48446-4421
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Country | US
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Telephone | 810-245-9700
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Fax | 810-245-9703
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Provider Business Mailing Address
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Address Line | 1083 SUNCREST DR STE A
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City | LAPEER
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State | MI
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Zip | 48446-4421
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Country | US
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Telephone | 810-245-9700
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Fax | 810-245-9703
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMMAD AL HARASTANI
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Credential | M.D.
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Telephone | 810-245-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 4301067273
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License Number State | MI
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