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General NPI Number Information
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NPI Number | 1043221435
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Entity Type | Organization
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Legal Business Name | VHS PHYSICIANS OF MICHIGAN
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 4160 JOHN R STE 708
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City | DETROIT
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State | MI
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Zip | 48201
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Country | US
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Telephone | 313-832-6034
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Fax | 313-832-7849
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Provider Business Mailing Address
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Address Line | 4160 JOHN R ST STE 404S
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City | DETROIT
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State | MI
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Zip | 48201-2021
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Country | US
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Telephone | 248-450-3507
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Fax | 248-796-0177
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | AARON W MADDOX
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Credential | MD
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Telephone | 313-832-6034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301038283
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License Number State | MI
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