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General NPI Number Information
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NPI Number | 1275706434
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Entity Type | Organization
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Legal Business Name | PANKAJ VAKHARIA MD PLLC
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 15224 APOLLO DRIVE
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City | HOLLY
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State | MI
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Zip | 48442-1166
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Country | US
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Telephone | 248-328-4000
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Fax | 248-328-1304
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Provider Business Mailing Address
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Address Line | 3547 INVERNESS DRIVE
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City | ROCHESTER
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State | MI
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Zip | 48306-4757
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Country | US
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Telephone | 248-328-4000
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Fax | 248-328-1304
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | DR. PANKAJ N. VAKHARIA
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Credential | M.D.
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Telephone | 248-328-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | PV033669
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License Number State | MI
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