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General NPI Number Information
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NPI Number | 1023291390
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Entity Type | Organization
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Legal Business Name | P & A OF FARMINGTON HILLS, PC
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/31/2009
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Provider Practice Location Address
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Address Line | 44150 W 12 MILE RD STE 100
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City | NOVI
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State | MI
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Zip | 48377
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Country | US
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Telephone | 248-867-8706
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 510
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City | UNION LAKE
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State | MI
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Zip | 48327-0510
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Country | US
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Telephone | 248-599-9491
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | PAUL A PARENTE
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Credential | D.O.
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Telephone | 248-867-8706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | PP004701
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License Number State | MI
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