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General NPI Number Information
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NPI Number | 1730361254
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Entity Type | Organization
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Legal Business Name | HILLSDALE PULMONARY CRITICAL CARE AND SLEEP MEDICINE PC
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 3271 W CARLETON RD
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City | HILLSDALE
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State | MI
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Zip | 49242-9458
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Country | US
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Telephone | 517-437-3879
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Fax | 517-437-4053
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Provider Business Mailing Address
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Address Line | 100 E CHICAGO ST
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City | JONESVILLE
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State | MI
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Zip | 49250-1197
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Country | US
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Telephone | 517-849-9090
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Fax | 517-797-4615
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Authorized Official
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Title or Position | OWNER
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Name | TARIQ HASAN ABDELKARIM
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Credential | MD
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Telephone | 517-437-3879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 4301079293
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License Number State | MI
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