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General NPI Number Information
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NPI Number | 1114157351
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Entity Type | Individual
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Provider Name | PARITOSH PANDEY M.D
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Gender | Male
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 4201 SAINT ANTOINE ST SUITE 6E
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 248-686-4390
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Fax |
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Provider Business Mailing Address
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Address Line | 2791 SOMERSET BLVD APTT NO 109
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City | TROY
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State | MI
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Zip | 48084-4011
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Country | US
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Telephone | 248-686-4390
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Fax |
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 4301093448
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License Number State | MI
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