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General NPI Number Information
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NPI Number | 1801749874
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Entity Type | Individual
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Provider Name | ADHRAA ALSANA
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 25710 KELLY RD
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City | ROSEVILLE
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State | MI
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Zip | 48066-4959
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Country | US
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Telephone | 586-772-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 49140 W WOODS DR
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48317-1854
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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 |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704370139
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License Number State | MI
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