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NPI 1326072471

NPI 1326072471 : MAAN JAMAL MD : WARREN, MI

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General NPI Number Information
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    NPI Number           |    1326072471
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    Entity Type          |    Individual 
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    Provider Name        |    MAAN JAMAL MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/11/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    27550 HOOVER RD 
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    City                 |    WARREN
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    State                |    MI
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    Zip                  |    48093-4505
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    Country              |    US
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    Telephone            |    586-427-6620
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    Fax                  |    586-427-6625
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Provider Business Mailing Address
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    Address Line         |    PO BOX 8385 
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    City                 |    BLOOMFIELD
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    State                |    MI
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    Zip                  |    48302-8385
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    Country              |    US
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    Telephone            |    583-726-0340
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    Fax                  |    586-254-3872
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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       |    055586
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    207RP1001X
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    Taxonomy Name        |    Pulmonary Disease Physician
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    License Number       |    055586
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    License Number State |    MI
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