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General NPI Number Information
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NPI Number | 1154559177
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Entity Type | Individual
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Provider Name | JASON WILLIAM BIHN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 15350 TRENTON RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-2027
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Country | US
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Telephone | 734-283-4616
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Fax | 734-283-5430
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Provider Business Mailing Address
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Address Line | 15350 TRENTON RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-2027
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Country | US
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Telephone | 734-283-4616
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Fax | 734-283-5430
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35.099525
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301110989
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License Number State | MI
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