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General NPI Number Information
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NPI Number | 1770111379
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Entity Type | Organization
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Legal Business Name | JANAN HAWIL, MD, PC
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Dates
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Enumeration Date | 03/30/2020
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Last Update Date | 03/30/2020
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Provider Practice Location Address
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Address Line | 35450 DEQUINDRE RD STE 103
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-4810
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Country | US
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Telephone | 586-795-2980
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Fax | 586-795-3419
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Provider Business Mailing Address
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Address Line | 35450 DEQUINDRE RD STE 103
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-4810
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Country | US
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Telephone | 586-795-2980
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Fax | 586-795-3419
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Authorized Official
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Title or Position | MD/PRACTICE OWNER
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Name | DR. JANAN HAWIL
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Credential | MD
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Telephone | 586-795-2980
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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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