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NPI 1184892143

NPI 1184892143 : OAKLAND INTEGRATED HEALTHCARE NETWORK : PONTIAC, MI

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General NPI Number Information
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    NPI Number           |    1184892143
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    Entity Type          |    Organization 
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    Legal Business Name  |    OAKLAND INTEGRATED HEALTHCARE NETWORK 
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Dates
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    Enumeration Date     |    02/13/2008
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    Last Update Date     |    10/28/2025
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Provider Practice Location Address
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    Address Line         |    1701 BALDWIN AVE 
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    City                 |    PONTIAC
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    State                |    MI
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    Zip                  |    48340-3412
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    Country              |    US
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    Telephone            |    248-253-0521
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1701 BALDWIN AVE 
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    City                 |    PONTIAC
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    State                |    MI
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    Zip                  |    48340-3412
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    Country              |    US
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    Telephone            |    248-253-0521
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF PHARMACY
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    Name                 |    DR. ANTHONY J PLAS 
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    Credential           |    PHARM.D.
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    Telephone            |    248-253-0521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    5301008116
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    License Number State |    MI
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