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General NPI Number Information
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NPI Number | 1578090718
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Entity Type | Individual
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Provider Name | SARA RAZMJOU-SCHWARZ MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2017
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 1030 HARRINGTON ST STE LL001
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-2918
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Country | US
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Telephone | 586-493-8000
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Fax | 586-493-3299
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Provider Business Mailing Address
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Address Line | 4201 SAINT ANTOINE ST
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 248-757-9028
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301506205
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License Number State | MI
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