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General NPI Number Information
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NPI Number | 1962670695
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Entity Type | Organization
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Legal Business Name | BASHAR I. NAKHLEH, MD, PLC
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 1216 RICHARDSON ST
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City | PORT HURON
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State | MI
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Zip | 48060-3549
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Country | US
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Telephone | 810-985-6777
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Fax | 810-985-3025
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Provider Business Mailing Address
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Address Line | 1216 RICHARDSON ST
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City | PORT HURON
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State | MI
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Zip | 48060-3549
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Country | US
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Telephone | 810-985-6777
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Fax | 810-985-3025
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BASHAR NAKHLEH
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Credential | M.D.
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Telephone | 810-985-6777
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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 |
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License Number State |
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