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General NPI Number Information
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NPI Number | 1609024702
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Entity Type | Organization
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Legal Business Name | AMERICAN ADVANCED HEALING TECHNOLOGIES
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 8033 E 10 MILE RD SUITE 107
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City | CENTER LINE
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State | MI
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Zip | 48015-1427
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Country | US
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Telephone | 888-506-0788
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Fax | 586-755-8054
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Provider Business Mailing Address
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Address Line | 8033 E 10 MILE RD SUITE 107
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City | CENTER LINE
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State | MI
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Zip | 48015-1427
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Country | US
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Telephone | 888-506-0788
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Fax | 586-755-8054
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RAMFIS FAHIM
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Credential | M.D.
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Telephone | 888-506-0788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 4582026
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License Number State | DE
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