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General NPI Number Information
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NPI Number | 1003800269
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Entity Type | Organization
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Legal Business Name | PILLAY INTERNAL MEDICINE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 100 N POND DR SUITE C
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City | WALLED LAKE
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State | MI
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Zip | 48390-3079
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Country | US
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Telephone | 248-624-2222
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Fax | 248-926-9455
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Provider Business Mailing Address
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Address Line | 100 N POND DR SUITE C
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City | WALLED LAKE
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State | MI
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Zip | 48390-3079
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Country | US
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Telephone | 248-624-2222
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Fax | 248-926-9455
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Authorized Official
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Title or Position | OWNER
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Name | JEET PILLAY
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Credential | MD
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Telephone | 248-624-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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