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General NPI Number Information
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NPI Number | 1295189439
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Entity Type | Individual
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Provider Name | ZAKIYA SHAKIR M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 3581 W 13 MILE RD
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City | ROYAL OAK
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State | MI
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Zip | 48073-6710
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Country | US
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Telephone | 248-551-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 130 TOWN CENTER DR STE 203
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City | TROY
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State | MI
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Zip | 48084-1744
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Country | US
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Telephone | 248-585-8216
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 63130
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301506947
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License Number State | MI
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