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General NPI Number Information
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NPI Number | 1700870979
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Entity Type | Organization
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Legal Business Name | AFFILIATES IN UROLOGY, P.C.
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 33545 CHERRY HILL RD
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City | WESTLAND
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State | MI
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Zip | 48186-4842
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Country | US
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Telephone | 734-595-1166
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Fax | 248-595-6821
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Provider Business Mailing Address
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Address Line | 33545 CHERRY HILL RD
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City | WESTLAND
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State | MI
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Zip | 48186-4842
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Country | US
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Telephone | 734-595-1166
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Fax | 248-595-6821
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Authorized Official
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Title or Position | OWNER
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Name | MAHMOOD A HAI
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Credential | MD
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Telephone | 734-595-1166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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