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General NPI Number Information
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NPI Number | 1861613739
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Entity Type | Organization
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Legal Business Name | WASIF HAFEEZ MD PC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 5542 HOBNAIL CIR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-1628
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Country | US
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Telephone | 313-592-3620
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Fax | 810-765-8169
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Provider Business Mailing Address
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Address Line | 5542 HOBNAIL CIR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-1628
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Country | US
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Telephone | 313-592-3620
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Fax | 810-765-8169
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Authorized Official
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Title or Position | PRESIDENT
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Name | WASIF HAFEEZ
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Credential | MD
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Telephone | 810-765-8104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | WH055371
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License Number State | MI
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