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General NPI Number Information
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NPI Number | 1245263698
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Entity Type | Organization
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Legal Business Name | CHEST SPECIALISTS, P.C.
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 7399 MIDDLEBELT RD SUITE 3
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-4137
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Country | US
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Telephone | 248-737-8261
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Fax | 248-737-5115
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Provider Business Mailing Address
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Address Line | 7399 MIDDLEBELT RD SUITE 3
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-4137
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Country | US
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Telephone | 248-737-8261
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Fax | 248-737-5115
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Authorized Official
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Title or Position | PHYSICIAN
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Name | SANFORD J. RAUTBORT
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Credential | M.D.
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Telephone | 258-737-8261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 4302027320
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License Number State | MI
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