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General NPI Number Information
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NPI Number | 1881077733
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Entity Type | Organization
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Legal Business Name | HUSSEIN A HURAIBI MD PLLC
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 03/05/2021
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Provider Practice Location Address
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Address Line | 13530 MICHIGAN AVE STE 190
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City | DEARBORN
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State | MI
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Zip | 48126-3574
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Country | US
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Telephone | 313-486-1030
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Fax | 313-731-1646
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Provider Business Mailing Address
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Address Line | 11650 BELLEVILLE RD STE 105
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City | VAN BUREN TWP
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State | MI
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Zip | 48111-3382
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Country | US
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Telephone | 734-732-4181
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Fax | 248-796-0767
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. HUSSEIN A HURAIBI
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Credential | MD
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Telephone | 734-732-4181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 4301066286
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License Number State | MI
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