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General NPI Number Information
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NPI Number | 1821466780
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Entity Type | Organization
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Legal Business Name | ANESTHESIA CONSULTANTS OF MICHIGAN, PLLC
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 11650 BELLEVILLE RD SUITE 107
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City | BELLEVILLE
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State | MI
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Zip | 48111-3380
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Country | US
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Telephone | 734-344-6090
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Fax | 248-796-0767
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Provider Business Mailing Address
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Address Line | 11650 BELLEVILLE RD SUITE 107
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City | BELLEVILLE
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State | MI
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Zip | 48111-3380
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Country | US
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Telephone | 734-344-6090
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Fax | 248-796-0767
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. HUSSEIN A HURAIBI
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Credential | MD
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Telephone | 734-344-6090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4301066286
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License Number State | MI
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