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General NPI Number Information
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NPI Number | 1962427260
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Entity Type | Individual
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Provider Name | MAHIR DARRAR ELDER MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4160 JOHN R ST STE 510
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City | DETROIT
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State | MI
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Zip | 48201-2021
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Country | US
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Telephone | 313-993-7777
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Fax | 313-993-2563
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Provider Business Mailing Address
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Address Line | 22725 ALEXANDRINE ST
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City | DEARBORN
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State | MI
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Zip | 48124-1081
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Country | US
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Telephone | 313-563-3609
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Fax | 313-563-4669
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301073824
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License Number State | MI
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