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General NPI Number Information
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NPI Number | 1558666891
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Entity Type | Organization
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Legal Business Name | ISMAIL B SENDI MD, PC
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Dates
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Enumeration Date | 01/18/2011
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Last Update Date | 01/18/2011
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Provider Practice Location Address
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Address Line | 26522 VAN DYKE AVE
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City | CENTER LINE
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State | MI
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Zip | 48015-1221
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Country | US
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Telephone | 248-634-6303
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Fax |
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Provider Business Mailing Address
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Address Line | 12850 FOUNTAIN SQ STE 106
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City | DAVISBURG
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State | MI
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Zip | 48350-2552
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Country | US
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Telephone | 248-634-6303
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Fax | 248-634-1746
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Authorized Official
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Title or Position | EXECUTIVE MEDICAL DIRECTOR
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Name | MR. ISMAIL B SENDI
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Credential | MD
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Telephone | 248-634-6303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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