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General NPI Number Information
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NPI Number | 1922124320
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Entity Type | Organization
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Legal Business Name | HOME VP INC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 16000 W 9 MILE RD SUITE # 313
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4808
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Country | US
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Telephone | 248-569-0749
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Fax | 248-569-0751
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Provider Business Mailing Address
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Address Line | 16000 W 9 MILE RD STE 311
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4835
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Country | US
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Telephone | 248-569-0749
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Fax | 248-569-0751
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MUHAMMAD AWAISI
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Credential | MD
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Telephone | 248-569-0749
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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 |
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License Number State |
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