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General NPI Number Information
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NPI Number | 1205071685
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Entity Type | Organization
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Legal Business Name | FAITHFUL, CARING& COMPASSIONATE DOCTORS, PLC
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 19111 W 10 MILE RD SUITE # 164
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2417
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Country | US
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Telephone | 248-354-0767
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Fax | 248-354-0806
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Provider Business Mailing Address
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Address Line | 19111 W 10 MILE RD SUITE # 164
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2449
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Country | US
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Telephone | 248-354-0767
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Fax | 248-354-0806
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHARON MARIE RODDY
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Credential | M.D.
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Telephone | 248-354-0767
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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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