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General NPI Number Information
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NPI Number | 1922116128
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Entity Type | Organization
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Legal Business Name | NABIL METWALLY MD PC
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 07/13/2015
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Provider Practice Location Address
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Address Line | 24224 JOY RD SUITE 101
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City | REDFORD
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State | MI
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Zip | 48239-1215
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Country | US
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Telephone | 313-565-6663
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Fax | 313-565-6632
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Provider Business Mailing Address
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Address Line | 39353 HEATHERBROOK DR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48331-2918
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Country | US
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Telephone | 313-565-6663
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Fax | 313-565-6632
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Authorized Official
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Title or Position | OWNER
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Name | NABIL M METWALLY
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Credential | MD
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Telephone | 313-565-6663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301064169
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License Number State | MI
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