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General NPI Number Information
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NPI Number | 1922816784
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Entity Type | Individual
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Provider Name | ABIZER ALI PT, APRN, AGNP-C
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Gender | Male
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 21999 FARMINGTON RD STE 200
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City | FARMINGTON
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State | MI
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Zip | 48336-4420
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Country | US
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Telephone | 248-522-7258
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Fax | 248-522-7289
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Provider Business Mailing Address
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Address Line | 29983 CLUB HOUSE LN
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2019
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Country | US
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Telephone | 248-757-0100
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Fax | 248-757-0200
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4704367708
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704367708
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License Number State | MI
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