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General NPI Number Information
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NPI Number | 1528356946
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Entity Type | Individual
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Provider Name | OUMAIR AEJAZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2011
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 26677 W 12 MILE RD # B6
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1514
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Country | US
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Telephone | 248-354-4709
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Fax | 248-354-4807
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Provider Business Mailing Address
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Address Line | 35616 E BAY CT
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335-2400
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Country | US
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Telephone | 248-913-3030
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301099118
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License Number State | MI
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