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NPI 1710168992

NPI 1710168992 : MEDICAL VISITING PHYSICIANS PLLC : DETROIT, MI

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General NPI Number Information
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    NPI Number           |    1710168992
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDICAL VISITING PHYSICIANS PLLC 
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Dates
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    Enumeration Date     |    11/16/2007
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    16921 W WARREN AVE 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48228-3504
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    Country              |    US
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    Telephone            |    313-914-5270
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    Fax                  |    313-757-7144
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Provider Business Mailing Address
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    Address Line         |    16921 W WARREN AVE 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48228-3504
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    Country              |    US
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    Telephone            |    313-914-5270
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    Fax                  |    313-757-7144
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Authorized Official
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    Title or Position    |    OWNER  PHYSICIAN
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    Name                 |    DR. SALEH ALI GHAITH 
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    Credential           |    MD
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    Telephone            |    313-333-7654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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