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General NPI Number Information
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NPI Number | 1851627053
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Entity Type | Organization
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Legal Business Name | AT HOME DOCTORS, PC
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Dates
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Enumeration Date | 10/22/2009
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Last Update Date | 10/22/2009
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Provider Practice Location Address
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Address Line | 1302 N EATON ST
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City | ALBION
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State | MI
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Zip | 49224-1041
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Country | US
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Telephone | 517-206-1388
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Fax | 517-708-3415
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Provider Business Mailing Address
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Address Line | 2843 E GRAND RIVER AVE 260
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City | EAST LANSING
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State | MI
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Zip | 48823-6722
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Country | US
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Telephone | 517-206-1388
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Fax | 517-708-3415
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. JAVAID BASHIR
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Credential | MD
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Telephone | 517-206-1388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301047107
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License Number State | MI
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