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General NPI Number Information
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NPI Number | 1235361767
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Entity Type | Organization
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Legal Business Name | MICH DIAGNOSTICS P.L.C.
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Dates
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Enumeration Date | 08/17/2009
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Last Update Date | 08/17/2009
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Provider Practice Location Address
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Address Line | 37672 PROFESSIONAL CENTER DR SUITE 140B
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City | LIVONIA
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State | MI
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Zip | 48154-1154
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Country | US
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Telephone | 586-649-8935
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Fax | 734-432-2500
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Provider Business Mailing Address
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Address Line | 37672 PROFESSIONAL CENTER DR SUITE 140B
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City | LIVONIA
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State | MI
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Zip | 48154-1154
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Country | US
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Telephone | 586-649-8935
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Fax | 734-432-2500
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | MR. SAMIT CHOWDHURY
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Credential | RCS., CCT
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Telephone | 586-292-2035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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