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General NPI Number Information
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NPI Number | 1164032926
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE ASSOCIATES OF ROCHESTER HILLS, P.C.
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Dates
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Enumeration Date | 08/06/2020
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Last Update Date | 08/06/2020
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Provider Practice Location Address
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Address Line | 1423 WALTON BLVD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-1775
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Country | US
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Telephone | 586-946-5393
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Fax |
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Provider Business Mailing Address
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Address Line | 3616 N SHIMMONS CIR
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City | AUBURN HILLS
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State | MI
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Zip | 48326-3912
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Country | US
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Telephone | 586-946-5393
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Fax |
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Authorized Official
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Title or Position | DIRECT OWNER
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Name | DR. SARA ELIZABETH GERHARDT
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Credential | M.D.
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Telephone | 586-946-5393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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