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General NPI Number Information
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NPI Number | 1043718729
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Entity Type | Organization
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Legal Business Name | VK INTERNAL MEDICINE, PC
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 24777 GREENFIELD RD
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3065
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Country | US
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Telephone | 248-559-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 560 APPALACHI ST
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City | COMMERCE TWP
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State | MI
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Zip | 48390-1000
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VLADIMIR KLEMPTNER
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Credential | MD
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Telephone | 734-368-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | VK040168
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License Number State | MI
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