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General NPI Number Information
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NPI Number | 1235406620
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Entity Type | Organization
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Legal Business Name | CONRAD A KAWEL III M D P C
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 20220 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-1412
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Country | US
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Telephone | 248-471-4600
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Fax | 248-471-4082
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Provider Business Mailing Address
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Address Line | 20220 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-1412
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Country | US
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Telephone | 248-471-4600
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Fax | 248-471-4082
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Authorized Official
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Title or Position | PRESIDENT
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Name | CONRAD A KAWEL III
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Credential | M.D.
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Telephone | 248-471-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301050558
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License Number State | MI
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