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General NPI Number Information
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NPI Number | 1083417844
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Entity Type | Organization
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Legal Business Name | A2 CENTER PLLC
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 2320 WASHTENAW AVE STE B
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City | ANN ARBOR
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State | MI
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Zip | 48104-4558
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Country | US
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Telephone | 734-913-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 WASHTENAW AVE STE B
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City | ANN ARBOR
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State | MI
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Zip | 48104-4558
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Country | US
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Telephone | 734-913-5100
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Fax |
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Authorized Official
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Title or Position | CO-OWNER, MANAGER
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Name | TIFFANY BALLARD
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Credential | MD
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Telephone | 734-913-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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