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General NPI Number Information
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NPI Number | 1306391420
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Entity Type | Individual
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Provider Name | SAEEDA AHMED
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Gender | Female
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 21411 CIVIC CENTER DR STE 109
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City | SOUTHFIELD
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State | MI
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Zip | 48076-3949
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Country | US
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Telephone | 248-355-3201
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Fax | 248-355-3202
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Provider Business Mailing Address
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Address Line | 6691 GLENWAY DR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3908
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Country | US
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Telephone | 248-862-2192
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501006452
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License Number State | MI
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