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General NPI Number Information
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NPI Number | 1366255663
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Entity Type | Organization
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Legal Business Name | DOWNRIVER FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 19020 FORT ST
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City | RIVERVIEW
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State | MI
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Zip | 48193-6701
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Country | US
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Telephone | 734-362-5100
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Fax | 734-362-5155
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Provider Business Mailing Address
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Address Line | 4 NOWLIN CT
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City | DEARBORN
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State | MI
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Zip | 48124-3912
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Country | US
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Telephone | 734-362-5100
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Fax | 734-362-5155
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Authorized Official
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Title or Position | OWNER
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Name | AHMAD AHMAD
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Credential | MD
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Telephone | 734-362-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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