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General NPI Number Information
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NPI Number | 1871841858
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Entity Type | Organization
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Legal Business Name | AHAD MD PC
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Dates
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Enumeration Date | 08/22/2012
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Last Update Date | 08/22/2012
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Provider Practice Location Address
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Address Line | 1380 COOLIDGE HWY SUITE 100
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City | TROY
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State | MI
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Zip | 48084-7069
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Country | US
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Telephone | 248-288-4300
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Fax | 248-288-4311
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Provider Business Mailing Address
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Address Line | PO BOX 633
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City | STERLING HEIGHTS
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State | MI
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Zip | 48311-0633
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Country | US
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Telephone | 248-288-4300
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Fax | 248-288-4311
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Authorized Official
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Title or Position | PRESIDENT
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Name | DURAID AHAD
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Credential | MD
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Telephone | 248-288-4300
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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 | 4301090907
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License Number State | MI
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