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General NPI Number Information
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NPI Number | 1851347348
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Entity Type | Organization
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Legal Business Name | KHALIL & USEN DPM, PC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 06/05/2020
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Provider Practice Location Address
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Address Line | 1628 FORD AVE
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City | WYANDOTTE
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State | MI
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Zip | 48192-2304
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Country | US
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Telephone | 734-284-1333
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Fax | 734-284-1311
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Provider Business Mailing Address
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Address Line | 1628 FORD AVE
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City | WYANDOTTE
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State | MI
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Zip | 48192-2304
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Country | US
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Telephone | 734-284-1333
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Fax | 734-284-1311
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Authorized Official
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Title or Position | V PRES
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Name | DR. MOHAMMAD FAYEZ KHALIL
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Credential | DPM
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Telephone | 734-284-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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