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General NPI Number Information
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NPI Number | 1215368345
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Entity Type | Organization
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Legal Business Name | VISITING PHYSICIANS SERVICES
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 48856 STONERIDGE DR
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City | NORTHVILLE
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State | MI
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Zip | 48168-8594
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Country | US
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Telephone | 248-561-8371
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Fax |
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Provider Business Mailing Address
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Address Line | 48856 STONERIDGE DR
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City | NORTHVILLE
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State | MI
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Zip | 48168-8594
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Country | US
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Telephone | 248-561-8371
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | VIJAY PATEL
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Credential | MD
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Telephone | 248-561-8371
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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 | 4301083722
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License Number State | MI
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