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General NPI Number Information
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NPI Number | 1710183348
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Entity Type | Organization
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Legal Business Name | REZA F. MAFEE M.D. P.C.
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 33330 PALMER RD SUITE A
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City | WESTLAND
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State | MI
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Zip | 48186-5529
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Country | US
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Telephone | 734-727-1765
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Fax | 734-727-1795
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Provider Business Mailing Address
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Address Line | 33330 PALMER RD SUITE A
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City | WESTLAND
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State | MI
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Zip | 48186-5529
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Country | US
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Telephone | 734-727-1765
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Fax | 734-727-1795
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. REZA F MAFEE
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Credential | M.D.
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Telephone | 734-727-1765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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