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General NPI Number Information
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NPI Number | 1780493726
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Entity Type | Organization
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Legal Business Name | CLINICAL DECISION SUPPORT CDS CONSULTING LLC
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 28175 HAGGERTY RD
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City | NOVI
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State | MI
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Zip | 48377-2903
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Country | US
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Telephone | 810-406-7937
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Fax |
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Provider Business Mailing Address
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Address Line | 28175 HAGGERTY RD
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City | NOVI
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State | MI
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Zip | 48377-2903
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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 | CONSULTANT
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Name | EMAN HAMID MOHAMED
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Credential |
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Telephone | 810-406-7937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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