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NPI 1740372895

NPI 1740372895 : TALAT DANISH MD MPH : MACOMB, MI

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General NPI Number Information
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    NPI Number           |    1740372895
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    Entity Type          |    Individual 
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    Provider Name        |    TALAT DANISH MD MPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/28/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    46591 ROMEO PLANK SUITE 131
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    City                 |    MACOMB
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    State                |    MI
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    Zip                  |    48044
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    Country              |    US
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    Telephone            |    586-226-6000
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    Fax                  |    --
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Provider Business Mailing Address
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    Address Line         |    1324 SOMERSET AVENUE 
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    City                 |    GROSSE POINTE PARK
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    State                |    MI
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    Zip                  |    48230
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    Country              |    US
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    Telephone            |    313-647-0106
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    4301065325
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    2083P0901X
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    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
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    License Number       |    4301065325
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    License Number State |    MI
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