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General NPI Number Information
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NPI Number | 1578558680
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Entity Type | Individual
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Provider Name | ALTAMASH A AMIN MD
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Gender | Male
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 506 N FRANKLIN ST
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City | FRANKENMUTH
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State | MI
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Zip | 48734-1000
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Country | US
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Telephone | 989-652-9410
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Fax | 989-793-8577
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Provider Business Mailing Address
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Address Line | 2233 N CENTER RD
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City | SAGINAW
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State | MI
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Zip | 48603-3730
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Country | US
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Telephone | 989-799-8420
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Fax | 989-624-1506
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301062214
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License Number State | MI
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