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General NPI Number Information
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NPI Number | 1962735613
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Entity Type | Individual
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Provider Name | SUHA CHEAITO-HAMIEH
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Gender | Female
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 14657 NORTHLINE RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-2483
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Country | US
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Telephone | 313-737-0804
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Fax | 734-281-9201
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Provider Business Mailing Address
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Address Line | 14657 NORTHLINE RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-2483
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Country | US
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Telephone | 313-737-0804
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Fax | 734-281-9201
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302032646
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License Number State | MI
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