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General NPI Number Information
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NPI Number | 1396725305
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Entity Type | Individual
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Provider Name | MUHAMMAD AHSAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 29877 TELEGRAPH RD SUITE 301
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1332
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Country | US
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Telephone | 348-359-2370
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Fax | 248-799-2604
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Provider Business Mailing Address
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Address Line | 29877 TELEGRAPH RD SUITE 310
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1332
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Country | US
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Telephone | 734-266-2780
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Fax | 734-466-9615
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 4301058733
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License Number State | MI
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