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General NPI Number Information
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NPI Number | 1073509857
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Entity Type | Individual
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Provider Name | WILLIAM W. EHRLICH M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 19176 HALL RD STE 110
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-6914
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Country | US
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Telephone | 586-286-3400
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Fax | 862-863-6195
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Provider Business Mailing Address
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Address Line | 30150 TELEGRAPH RD STE 271
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City | BINGHAM FARMS
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State | MI
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Zip | 48025-4521
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Country | US
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Telephone | 313-530-5494
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Fax | 205-943-4660
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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 | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | 4301043309
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License Number State | MI
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