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General NPI Number Information
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NPI Number | 1396029161
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Entity Type | Organization
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Legal Business Name | DETROIT CLINICAL RESEARCH CENTER, PC
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 09/28/2011
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Provider Practice Location Address
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Address Line | 27780 NOVI RD SUITE 101
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City | NOVI
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State | MI
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Zip | 48377-3401
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Country | US
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Telephone | 248-773-8979
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Fax | 248-468-1155
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Provider Business Mailing Address
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Address Line | 27780 NOVI RD SUITE 101
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City | NOVI
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State | MI
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Zip | 48377-3401
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Country | US
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Telephone | 248-773-8979
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Fax | 248-468-1155
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Authorized Official
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Title or Position | OWNER
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Name | MAX RASHED
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Credential | MS, MBA
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Telephone | 248-773-8979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 02264X
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License Number State | MI
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