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General NPI Number Information
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NPI Number | 1386680502
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL CENTER PLLC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 4132 SCHAEFER RD
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City | DEARBORN
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State | MI
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Zip | 48126-3683
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Country | US
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Telephone | 313-849-3100
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Fax | 313-899-7099
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Provider Business Mailing Address
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Address Line | 10140 W VERNOR HIGHWAY
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City | DEARBORN
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State | MI
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Zip | 48120
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Country | US
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Telephone | 313-849-3100
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Fax | 313-899-7099
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. SALEH MUSLAH
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Credential | MD
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Telephone | 313-849-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics 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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