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General NPI Number Information
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NPI Number | 1972255834
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Entity Type | Individual
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Provider Name | MUNIR ALI HADWAN MSN,FNP-C
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Gender | Male
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 8835 MICHIGAN AVE STE 100
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City | DETROIT
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State | MI
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Zip | 48210-0708
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Country | US
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Telephone | 313-228-0020
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Fax | 313-476-6809
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Provider Business Mailing Address
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Address Line | 8816 LUMPKIN ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3643
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Country | US
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Telephone | 313-445-5849
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Fax |
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 4704341913
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704341913
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License Number State | MI
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