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General NPI Number Information
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NPI Number | 1619920634
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Entity Type | Individual
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Provider Name | RABEI W BDEIR MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 06/22/2024
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Provider Practice Location Address
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Address Line | 44405 WOODWARD AVE
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City | PONTIAC
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State | MI
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Zip | 48341-5023
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Country | US
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Telephone | 248-858-3190
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Fax | 810-733-8898
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Provider Business Mailing Address
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Address Line | 9460 S SAGINAW RD STE D
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City | GRAND BLANC
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State | MI
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Zip | 48439-8207
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Country | US
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Telephone | 810-733-7741
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Fax | 810-733-8898
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 079348
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License Number State | MI
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