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General NPI Number Information
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NPI Number | 1194977694
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Entity Type | Organization
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Legal Business Name | CITY OF DEARBORN
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Dates
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Enumeration Date | 10/15/2008
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 16301 MICHIGAN AVE
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City | DEARBORN
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State | MI
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Zip | 48126-2723
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Country | US
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Telephone | 313-943-2090
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Fax | 313-943-2312
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Provider Business Mailing Address
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Address Line | 16301 MICHIGAN AVE
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City | DEARBORN
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State | MI
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Zip | 48126-2723
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Country | US
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Telephone | 313-943-2090
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Fax | 313-943-2312
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Authorized Official
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Title or Position | MAYOR
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Name | MR. JOHN B O'REILLY
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Credential |
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Telephone | 313-943-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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