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General NPI Number Information
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NPI Number | 1275756736
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Entity Type | Organization
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Legal Business Name | ENDOCRINE CARE P.C.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 10/02/2009
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Provider Practice Location Address
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Address Line | 3601 W 13 MILE RD
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City | ROYAL OAK
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State | MI
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Zip | 48073-6712
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Country | US
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Telephone | 248-693-1856
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 721189
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City | BERKLEY
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State | MI
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Zip | 48072-0189
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Country | US
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Telephone | 248-693-1856
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUCHITRA BHAKTA
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Credential | M.D.
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Telephone | 248-693-1856
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 4301065578
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License Number State | MI
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