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NPI 1780696567

NPI 1780696567 : ASIMA S HUSSAIN MD : WATERFORD, MI

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General NPI Number Information
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    NPI Number           |    1780696567
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    Entity Type          |    Individual 
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    Provider Name        |    ASIMA S HUSSAIN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/12/2006
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    Last Update Date     |    05/27/2025
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Provider Practice Location Address
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    Address Line         |    4000 HIGHLAND RD STE 130 
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    City                 |    WATERFORD
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    State                |    MI
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    Zip                  |    48328-2168
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    Country              |    US
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    Telephone            |    248-681-7909
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    Fax                  |    248-681-0455
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7377 
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    City                 |    BLOOMFIELD HILLS TWP
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    State                |    MI
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    Zip                  |    48302-7377
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    Country              |    US
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    Telephone            |    248-672-8319
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    Fax                  |    586-578-9806
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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        |    207QS1201X
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    Taxonomy Name        |    Sleep Medicine (Family Medicine) Physician
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    License Number       |    4301053641
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    License Number State |    MI
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