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General NPI Number Information
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NPI Number | 1568002822
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Entity Type | Organization
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Legal Business Name | GREENFIELD AND 9 MILE MEDICAL CENTER PLLC
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 20905 GREENFIELD RD STE 607M
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 248-557-3303
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Fax | 248-494-7440
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Provider Business Mailing Address
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Address Line | 20905 GREENFIELD RD STE 607M
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 248-557-3303
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Fax | 248-494-7440
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Authorized Official
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Title or Position | OWNER
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Name | NAJM-UL HASSAN
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Credential |
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Telephone | 248-557-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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