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General NPI Number Information
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NPI Number | 1437796216
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Entity Type | Organization
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Legal Business Name | ALI HAZIMEH PLLC
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Dates
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Enumeration Date | 11/29/2019
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 7542 WYOMING ST
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City | DEARBORN
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State | MI
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Zip | 48126-1690
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Country | US
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Telephone | 313-676-2149
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Fax |
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Provider Business Mailing Address
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Address Line | 7542 WYOMING ST
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City | DEARBORN
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State | MI
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Zip | 48126-1690
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Country | US
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Telephone | 313-676-2149
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALI HAZIMEH
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Credential | MD
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Telephone | 313-676-2149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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