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General NPI Number Information
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NPI Number | 1679115232
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Entity Type | Organization
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Legal Business Name | ISMAIL B. SENDI, MD, PC
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Dates
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Enumeration Date | 10/15/2019
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Last Update Date | 10/15/2019
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Provider Practice Location Address
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Address Line | 500 10TH ST
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City | PORT HURON
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State | MI
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Zip | 48060-4477
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Country | US
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Telephone | 810-357-0760
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Fax | 810-357-0761
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Provider Business Mailing Address
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Address Line | 6549 TOWN CENTER DR STE A
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City | CLARKSTON
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State | MI
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Zip | 48346-4824
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Country | US
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Telephone | 248-620-6400
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Fax | 248-620-6405
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Authorized Official
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Title or Position | DIRECTOR, HUMAN RESOURCES
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Name | JULIA SCHIAPPACASSE
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Credential | MPA
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Telephone | 248-620-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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