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General NPI Number Information
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NPI Number | 1528265253
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Entity Type | Organization
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Legal Business Name | SALAHI HEART CLINIC PLLC
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 67200 VAN DYKE RD SUITE 203
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City | WASHINGTON
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State | MI
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Zip | 48095-1463
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Country | US
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Telephone | 586-752-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 67200 VAN DYKE RD SUITE 203
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City | WASHINGTON
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State | MI
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Zip | 48095-1463
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Country | US
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Telephone | 586-752-7575
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. FAROUK SALAHI
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Credential | M.D.
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Telephone | 586-752-7575
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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 |
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