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General NPI Number Information
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NPI Number | 1770818353
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Entity Type | Organization
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Legal Business Name | ZAINUDDIN CHILDREN'S CLINIC PC
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Dates
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Enumeration Date | 10/15/2009
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 2486 NERREDIA ST SUITE E
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City | FLINT
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State | MI
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Zip | 48532-4807
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Country | US
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Telephone | 810-733-8830
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Fax | 810-230-9916
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Provider Business Mailing Address
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Address Line | 2486 NERREDIA ST SUITE E
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City | FLINT
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State | MI
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Zip | 48532-4807
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Country | US
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Telephone | 810-733-8830
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SANIA ZAINUDDIN
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Credential | MD
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Telephone | 810-733-8830
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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 | 4301069960
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License Number State | MI
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