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General NPI Number Information
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NPI Number | 1437472826
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Entity Type | Organization
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Legal Business Name | ABDULBASET SULAIMAN MD PC
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 03/12/2010
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Provider Practice Location Address
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Address Line | 46591 ROMEO PLANK RD SUITE 137
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City | MACOMB
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State | MI
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Zip | 48044-5742
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Country | US
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Telephone | 586-226-6226
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Fax | 586-226-6269
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Provider Business Mailing Address
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Address Line | 46591 ROMEO PLANK RD SUITE 137
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City | MACOMB
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State | MI
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Zip | 48044-5742
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Country | US
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Telephone | 586-226-6226
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Fax | 586-226-6269
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Authorized Official
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Title or Position | OWNER
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Name | DR. ABDULBSET SULAIMAN
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Credential | M.D.
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Telephone | 248-346-4402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301065623
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 4301065623
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 4301065623
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number | 43010656623
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License Number State | MI
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