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General NPI Number Information
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NPI Number | 1265874945
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Entity Type | Organization
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Legal Business Name | GREENFIELD AND 9 MILE MEDICAL CENTER PLLC
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 20820 GREENFIELD RD
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City | OAK PARK
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State | MI
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Zip | 48237-3051
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Country | US
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Telephone | 248-557-3303
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Fax | 586-722-2722
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Provider Business Mailing Address
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Address Line | 20905 GREENFIELD RD STE 607M
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5360
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Country | US
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Telephone | 248-557-3303
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Fax | 586-722-2722
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Authorized Official
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Title or Position | OWNER
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Name | MR. NAJM-UL HASSAN
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Credential |
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Telephone | 248-262-7103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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