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General NPI Number Information
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NPI Number | 1508808817
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH GROUP, P.C.
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 24430 FORD RD SUITE B
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-3280
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Country | US
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Telephone | 313-565-6782
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Fax | 313-565-6784
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Provider Business Mailing Address
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Address Line | 11650 BELLEVILLE STE 105
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City | BELLEVILLE
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State | MI
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Zip | 48111
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Country | US
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Telephone | 734-325-6282
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Fax | 734-865-1234
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUSSEIN A HURAIBI
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Credential | M.D.
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Telephone | 734-476-4845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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