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General NPI Number Information
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NPI Number | 1225042963
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Entity Type | Organization
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Legal Business Name | OAKWOOD HEALTHCARE, INC.
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 33155 ANNAPOLIS ST
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City | WAYNE
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State | MI
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Zip | 48184-2405
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Country | US
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Telephone | 734-467-4000
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Fax | 734-467-4017
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Provider Business Mailing Address
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Address Line | 26901 BEAUMONT BLVD. COMPLIANCE
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City | SOUTHFIELD
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State | MI
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Zip | 48033-4716
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Country | US
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Telephone | 947-522-1963
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Fax |
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Authorized Official
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Title or Position | DIRECTOR SHARED SERVICES
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Name | LESLEY WILLBRANDT
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Credential |
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Telephone | 947-522-1911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 820010
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License Number State | MI
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