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General NPI Number Information
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NPI Number | 1235994443
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Entity Type | Organization
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Legal Business Name | NOVALIFE MEDICAL PLLC
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 1148 LONGSPUR BLVD
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City | LAKE ORION
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State | MI
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Zip | 48360-2542
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Country | US
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Telephone | 586-530-8356
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7320
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-7320
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Country | US
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Telephone | 586-530-8356
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. AALOK DAVE
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Credential | MD
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Telephone | 586-530-8356
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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 |
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License Number State |
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