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General NPI Number Information
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NPI Number | 1447457734
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Entity Type | Organization
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Legal Business Name | EMAD ALATASSI MD, P.C.
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 06/18/2013
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Provider Practice Location Address
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Address Line | 18263 E 10 MILE RD SUITE D
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City | ROSEVILLE
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State | MI
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Zip | 48066-5805
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Country | US
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Telephone | 586-778-3478
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Fax | 586-778-3496
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Provider Business Mailing Address
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Address Line | 43750 GARFIELD RD SUITE 211
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1135
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Country | US
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Telephone | 877-996-9975
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Fax | 586-228-4533
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Authorized Official
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Title or Position | OWNER
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Name | EMAD ALATASSI
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Credential | M.D.
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Telephone | 586-778-3478
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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 |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State | MI
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