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General NPI Number Information
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NPI Number | 1306399068
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Entity Type | Organization
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Legal Business Name | OBSTETRICS & GYNECOLOGY OF GREATER FLINT PC
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Dates
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Enumeration Date | 07/29/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 1335 S LINDEN RD
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City | FLINT
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State | MI
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Zip | 48532-3420
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Country | US
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Telephone | 810-733-0010
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Fax | 810-733-0011
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Provider Business Mailing Address
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Address Line | 1335 S LINDEN RD
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City | FLINT
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State | MI
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Zip | 48532-3420
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Country | US
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Telephone | 810-733-0010
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Fax | 810-733-0011
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMED KHEDR
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Credential |
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Telephone | 810-733-0010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301083799
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License Number State | MI
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