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General NPI Number Information
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NPI Number | 1942702436
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Entity Type | Organization
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Legal Business Name | SAAD PROFESSIONAL SERVICES LLC
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Dates
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Enumeration Date | 03/01/2018
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 20755 GREENFIELD RD STE 100
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5400
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Country | US
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Telephone | 313-407-1545
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Fax |
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Provider Business Mailing Address
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Address Line | 677 KINLOCH ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-3753
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Country | US
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Telephone | 313-715-5555
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MISS CYNTHIA BURT
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Credential |
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Telephone | 313-407-1545
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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 | 4301080553
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License Number State | MI
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