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General NPI Number Information
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NPI Number | 1922431808
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Entity Type | Organization
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Legal Business Name | SAM AJLUNI, M.D. PLLC
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 10/27/2024
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Provider Practice Location Address
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Address Line | 26677 W. 12 MILE RD PMB 3272
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City | SOUTHFIELD
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State | MI
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Zip | 48034
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Country | US
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Telephone | 248-808-4644
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Fax | 248-288-3770
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Provider Business Mailing Address
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Address Line | 26677 W. 12 MILE RD PMB 3272
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City | SOUTHFIELD
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State | MI
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Zip | 48034
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Country | US
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Telephone | 248-808-4644
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Fax | 248-288-3770
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. SAM AJLUNI
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Credential | M.D,
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Telephone | 248-808-4644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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