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General NPI Number Information
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NPI Number | 1508603291
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Entity Type | Individual
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Provider Name | MOSTAFA EL ZARIF
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Gender | Male
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Dates
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Enumeration Date | 07/10/2024
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 30713 SCHOENHERR RD STE A
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City | WARREN
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State | MI
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Zip | 48088-3122
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Country | US
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Telephone | 586-284-2643
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Fax | 586-265-2170
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Provider Business Mailing Address
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Address Line | 30713 SCHOENHERR RD STE A
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City | WARREN
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State | MI
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Zip | 48088-3122
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Country | US
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Telephone | 586-284-2643
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Fax | 586-265-2170
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1025352
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 4704425489
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License Number State | MI
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