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General NPI Number Information
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NPI Number | 1265543318
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Entity Type | Organization
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Legal Business Name | OBSTETRICS & GYNECOLOGY ASSOCIATE PHYSICIANS, P.C.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 2520 S TELEGRAPH RD SUITE 200
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-0285
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Country | US
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Telephone | 248-335-9207
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Fax | 248-335-2394
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Provider Business Mailing Address
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Address Line | 2725 WARNER DR
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City | W BLOOMFIELD
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State | MI
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Zip | 48324-2445
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Country | US
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Telephone | 248-360-7797
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TELESFORO E GARCIA
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Credential | M.D.
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Telephone | 248-335-9207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 430103648
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License Number State | MI
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