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General NPI Number Information
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NPI Number | 1548410798
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Entity Type | Organization
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Legal Business Name | MID-MICHIGAN PAIN MANAGEMENT CENTER, PLC
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Dates
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Enumeration Date | 09/24/2008
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 1230 S LINDEN RD SUITE 4
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City | FLINT
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State | MI
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Zip | 48532-3459
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Country | US
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Telephone | 810-732-7077
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Fax | 810-732-7033
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Provider Business Mailing Address
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Address Line | 1230 S LINDEN RD SUITE 4
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City | FLINT
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State | MI
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Zip | 48532-3459
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Country | US
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Telephone | 810-732-7077
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Fax | 810-732-7033
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Authorized Official
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Title or Position | OWNER
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Name | AHMED ZAKI
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Credential |
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Telephone | 810-732-7077
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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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