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General NPI Number Information
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NPI Number | 1912733221
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Entity Type | Individual
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Provider Name | HASSAN AYASH
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Gender | Male
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Dates
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Enumeration Date | 09/12/2024
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 35300 NANKIN BLVD
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City | WESTLAND
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State | MI
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Zip | 48185-7222
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Country | US
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Telephone | 543-388-8355
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Fax |
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Provider Business Mailing Address
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Address Line | 6366 PLAINVIEW AVE
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City | DETROIT
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State | MI
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Zip | 48228-3974
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Country | US
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Telephone | 313-929-6464
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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