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General NPI Number Information
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NPI Number | 1023292901
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Entity Type | Organization
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Legal Business Name | W.J. RINGOLD M.D.P.C.
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 2200 MONROE ST
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City | DEARBORN
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State | MI
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Zip | 48124-3058
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Country | US
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Telephone | 313-562-9100
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Fax | 313-562-5851
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Provider Business Mailing Address
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Address Line | 2200 MONROE ST
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City | DEARBORN
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State | MI
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Zip | 48124-3058
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Country | US
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Telephone | 313-562-6607
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Fax | 313-562-5851
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WARREN J RINGOLD
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Credential | M.D.
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Telephone | 313-562-6607
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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 | 4301036838
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License Number State | MI
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