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General NPI Number Information
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NPI Number | 1568777522
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Entity Type | Individual
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Provider Name | SYED BABAR HUSSAIN
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Gender | Male
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Dates
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Enumeration Date | 08/15/2010
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Last Update Date | 08/15/2010
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Provider Practice Location Address
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Address Line | 35746 HARPER AVE
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City | CLINTON TWP
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State | MI
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Zip | 48035-3212
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Country | US
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Telephone | 586-791-9203
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Fax |
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Provider Business Mailing Address
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Address Line | 24134 MARIGOLD CT
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City | CLINTON TWP
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State | MI
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Zip | 48036-3142
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Country | US
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Telephone | 313-790-9335
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | L1812088
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License Number State | MI
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