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General NPI Number Information
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NPI Number | 1508421678
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Entity Type | Individual
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Provider Name | BILAL SHEIKH-KHALIL
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Gender | Male
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Dates
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Enumeration Date | 05/04/2019
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Last Update Date | 05/04/2019
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Provider Practice Location Address
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Address Line | 4500 S SAGINAW ST
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City | FLINT
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State | MI
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Zip | 48507-2676
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Country | US
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Telephone | 810-394-5822
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Fax |
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Provider Business Mailing Address
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Address Line | 8314 SHERWOOD DR
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City | GRAND BLANC
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State | MI
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Zip | 48439-8391
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Country | US
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Telephone | 810-394-5822
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1180152186
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License Number State | AZ
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