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General NPI Number Information
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NPI Number | 1073169132
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Entity Type | Individual
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Provider Name | ARJUN TRIVEDI M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 22250 PROVIDENCE DRIVE, ACADEMIC INTERNAL MEDICINE SUITE #301
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4818
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Country | US
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Telephone | 248-849-3281
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Fax | 248-849-5449
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Provider Business Mailing Address
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Address Line | DIVISION OF ENDOCRINOLOGY, WAYNE STATE UNIVERSITY/DMC UNIVERSITY HEALTH CENTER 4201 ST. ANTOINE ST, SUITE 4H
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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 | 313-745-4008
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Fax | 313-745-5565
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4351045188
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License Number State | MI
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