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General NPI Number Information
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NPI Number | 1396230835
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Entity Type | Individual
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Provider Name | HADEEL AWAD SHIHAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 3901 BEAUBIEN ST
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City | DETROIT
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State | MI
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Zip | 48201-2119
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Country | US
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Telephone | 313-745-5870
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Fax |
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Provider Business Mailing Address
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Address Line | 740 S NEW ST
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City | DOVER
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State | DE
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Zip | 19904-3571
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Country | US
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Telephone | 302-674-0222
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C1-0024004
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301512006
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License Number State | MI
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