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General NPI Number Information
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NPI Number | 1831298934
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Entity Type | Organization
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Legal Business Name | BASHAR SUCCAR MD PC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 44200 WOODWARD AVE SUITE 201
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City | PONTIAC
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State | MI
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Zip | 48341-5031
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Country | US
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Telephone | 248-334-9490
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Fax | 248-636-1170
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Provider Business Mailing Address
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Address Line | 44200 WOODWARD AVE SUITE 201
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City | PONTIAC
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State | MI
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Zip | 48341-5031
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Country | US
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Telephone | 248-334-9490
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Fax | 248-636-1170
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Authorized Official
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Title or Position | PHYSICIAN
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Name | BASHAR SUCCAR
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Credential | MD
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Telephone | 248-334-9490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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