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General NPI Number Information
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NPI Number | 1740106269
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Entity Type | Organization
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Legal Business Name | MICHIGAN PEDIATRIC SURGERY CENTER PC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 28815 8 MILE RD
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City | LIVONIA
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State | MI
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Zip | 48152-2052
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Country | US
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Telephone | 313-701-4723
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Fax |
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Provider Business Mailing Address
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Address Line | 28815 8 MILE RD
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City | LIVONIA
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State | MI
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Zip | 48152-2052
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTAL DIRECTOR
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Name | HASSAN OUEIS
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Credential | DDS
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Telephone | 313-404-1061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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