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General NPI Number Information
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NPI Number | 1336747427
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Entity Type | Individual
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Provider Name | LAYAL ABOU DAHER MD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2020
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 2799 W GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48202-2608
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Country | US
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Telephone | 313-916-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 20820 LITTLESTONE RD APT 5
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City | HARPER WOODS
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State | MI
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Zip | 48225-2333
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Country | US
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Telephone | 313-207-2302
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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 | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 7394320
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4301513867
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License Number State | MI
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