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General NPI Number Information
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NPI Number | 1457012262
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Entity Type | Individual
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Provider Name | DR. MOAAD SHARIFF
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Gender | Male
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 10136 VERNOR HWY
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City | DEARBORN
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State | MI
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Zip | 48120-1515
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Country | US
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Telephone | 313-841-8820
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Fax | 313-841-8846
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Provider Business Mailing Address
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Address Line | 5050 TERNES ST
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City | DEARBORN
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State | MI
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Zip | 48126-4685
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Country | US
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Telephone | 313-442-2421
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302413498
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License Number State | MI
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