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General NPI Number Information
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NPI Number | 1326100660
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Entity Type | Individual
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Provider Name | TAMER ABDELHAK MD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | TRINITY HEALTH IHA MEDICAL GROUP NEUROLOGY 5333 MCAULEY DRIVE
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City | YPSILANTI
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State | MI
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Zip | 48197-3412
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Country | US
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Telephone | 734-712-1400
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Fax | 734-623-2857
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DRIVE SUITE J2000
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City | ANN ARBOR
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State | MI
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Zip | 48105
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Country | US
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Telephone | 518-262-5226
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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 | 2084A2900X
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Taxonomy Name | Neurocritical Care Physician
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License Number | 4301090561
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA10779900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 72703-20
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | D64711
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036136691
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 302109
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 036-136691
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301090561
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License Number State | MI
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