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General NPI Number Information
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NPI Number | 1649110321
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PHOTO MODULATION LLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 26635 SOUTHFIELD RD
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City | LATHRUP VILLAGE
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State | MI
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Zip | 48076-4530
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Country | US
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Telephone | 248-327-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 26635 SOUTHFIELD RD
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City | LATHRUP VILLAGE
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State | MI
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Zip | 48076-4530
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NABIL HODROJ
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Credential | DO
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Telephone | 248-327-7111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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