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General NPI Number Information
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NPI Number | 1306287115
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Entity Type | Individual
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Provider Name | SAMMAR R ALSUNAID M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 3990 JOHN R ST RM 3910
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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 | 313-966-0695
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Fax | 313-993-0562
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Provider Business Mailing Address
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Address Line | 3990 JOHN R ST RM 3910
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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 | 313-966-0695
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Fax | 313-993-0562
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301103273
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License Number State | MI
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