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General NPI Number Information
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NPI Number | 1720289432
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Entity Type | Organization
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Legal Business Name | FAMILY PHYSICIANS OF HUBER HEIGHTS
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 6750 BRANDT PIKE SUITE 3
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-3477
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Country | US
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Telephone | 937-235-6331
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Fax | 937-235-6337
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Provider Business Mailing Address
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Address Line | PO BOX 24009
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-0009
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Country | US
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Telephone | 937-235-6331
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Fax | 937-235-6337
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SHAFIK AHMAD
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Credential | MD
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Telephone | 937-235-6331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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