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General NPI Number Information
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NPI Number | 1588300438
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Entity Type | Individual
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Provider Name | ZAINULABIDEEN MAHMOOD DO
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Gender | Male
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 19000 ST JOES PKWY STE 140
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City | LIVONIA
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State | MI
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Zip | 48152-1477
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Country | US
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Telephone | 734-213-3688
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Fax |
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DR # J2000
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City | ANN ARBOR
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State | MI
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Zip | 48105-9484
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Country | US
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Telephone | 734-747-6766
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 1588300438
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License Number State | MI
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