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General NPI Number Information
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NPI Number | 1962402370
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Entity Type | Individual
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Provider Name | HESHAM GAYAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 4100 BEECHER RD SUITE A
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City | FLINT
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State | MI
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Zip | 48532-3661
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Country | US
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Telephone | 810-342-3800
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Fax | 810-342-3784
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Provider Business Mailing Address
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Address Line | PO BOX 1236
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City | GRAND BLANC
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State | MI
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Zip | 48480-3236
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Country | US
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Telephone | 810-342-3800
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Fax | 810-342-3784
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 4301056934
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License Number State | MI
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