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General NPI Number Information
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NPI Number | 1043360589
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Entity Type | Organization
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Legal Business Name | OPHTHALMOLOGY ASSOCIATES
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 26615 GREENFIELD
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City | SOUTHFIELD
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State | MI
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Zip | 48076-7208
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Country | US
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Telephone | 248-557-1070
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Fax | 248-557-4984
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Provider Business Mailing Address
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Address Line | 26615 GREENFIELD
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City | SOUTHFIELD
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State | MI
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Zip | 48076-7208
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Country | US
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Telephone | 248-557-1070
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Fax | 248-557-4984
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Authorized Official
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Title or Position | BILLER
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Name | MS. MARY P ARNETT
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Credential |
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Telephone | 248-557-1812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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