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General NPI Number Information
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NPI Number | 1699869503
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Entity Type | Individual
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Provider Name | SAMER AHMAD ALI-HASAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 2660 W SUGNET RD
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City | MIDLAND
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State | MI
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Zip | 48640-2647
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Country | US
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Telephone | 989-832-0900
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Fax | 989-633-0349
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Provider Business Mailing Address
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Address Line | 2660 W SUGNET RD
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City | MIDLAND
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State | MI
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Zip | 48640-2647
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Country | US
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Telephone | 989-832-0900
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Fax | 989-633-0349
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01063288A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35.094208
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036121333
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | MD202142
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 036121333
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301101928
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License Number State | MI
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