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General NPI Number Information
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NPI Number | 1922006048
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Entity Type | Organization
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Legal Business Name | HAMMOUD MEDICAL CENTER PC
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 04/29/2009
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Provider Practice Location Address
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Address Line | 22146 FORD RD #3
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-2419
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Country | US
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Telephone | 313-562-9588
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Fax | 313-562-9589
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Provider Business Mailing Address
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Address Line | PO BOX 77700 DEPT 77261
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City | DETROIT
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State | MI
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Zip | 48277-0700
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Country | US
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Telephone | 313-562-9588
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Fax | 313-562-9589
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. RICHARD HAMMOUD
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Credential | MD
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Telephone | 313-562-9588
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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 | 4301078769
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License Number State | MI
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