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General NPI Number Information
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NPI Number | 1902542285
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Entity Type | Individual
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Provider Name | TAHNIYAT GUL DO
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Gender | Female
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 5500 AUTO CLUB DR STE 255
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City | DEARBORN
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State | MI
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Zip | 48126-2779
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Country | US
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Telephone | 313-425-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 3031 W GRAND BLVD STE 600
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City | DETROIT
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State | MI
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Zip | 48202-3014
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Country | US
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Telephone | 313-871-3751
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5101027826
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License Number State | MI
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