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General NPI Number Information
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NPI Number | 1215472188
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC SPECIALISTS OF OAKLAND COUNTY
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Dates
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Enumeration Date | 12/30/2016
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 44038 WOODWARD AVE SUITE 200
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-5035
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Country | US
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Telephone | 248-335-2977
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Fax |
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Provider Business Mailing Address
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Address Line | 44038 WOODWARD AVE SUITE 200
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-5035
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Country | US
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Telephone | 248-335-2977
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | SAFA KASSAB
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Credential | M.D.
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Telephone | 248-335-2977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301096336
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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