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General NPI Number Information
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NPI Number | 1366194573
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Entity Type | Individual
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Provider Name | SABER ALHASHEDI
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Gender | Male
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 2891 E MAPLE RD STE 104
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City | TROY
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State | MI
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Zip | 48083-6106
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Country | US
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Telephone | 248-688-9732
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Fax | 248-688-9364
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Provider Business Mailing Address
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Address Line | 5480 ARGYLE ST
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City | DEARBORN
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State | MI
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Zip | 48126-3146
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Country | US
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Telephone | 313-971-5863
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302412657
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License Number State | MI
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