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General NPI Number Information
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NPI Number | 1346757846
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Entity Type | Organization
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Legal Business Name | AJ MEDICAL ASSOCIATES PLC
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Dates
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Enumeration Date | 01/05/2018
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1647 INKSTER RD STE B
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City | GARDEN CITY
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State | MI
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Zip | 48135-3086
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Country | US
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Telephone | 734-666-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 1647 INKSTER RD STE B
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City | GARDEN CITY
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State | MI
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Zip | 48135-3086
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Country | US
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Telephone | 734-666-0000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALI JABER
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Credential | MD
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Telephone | 734-377-0892
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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 | 4301102779
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License Number State | MI
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