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General NPI Number Information
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NPI Number | 1114140167
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Entity Type | Organization
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Legal Business Name | RALPH D PEARLMAN MD PC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 01/08/2010
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Provider Practice Location Address
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Address Line | 22250 PROVIDENCE DR STE 702
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City | SOUTHFIELD
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State | MI
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Zip | 48075-6215
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Country | US
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Telephone | 248-557-9650
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Fax | 248-557-5033
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Provider Business Mailing Address
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Address Line | 22250 PROVIDENCE DR STE 702
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City | SOUTHFIELD
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State | MI
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Zip | 48075-6215
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Country | US
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Telephone | 248-557-9650
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Fax | 248-557-5033
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Authorized Official
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Title or Position | PRESIDENT
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Name | RALPH PEARLMAN
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Credential | MD
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Telephone | 248-557-9650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | RP045454
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License Number State | MI
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