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General NPI Number Information
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NPI Number | 1275850554
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Entity Type | Organization
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Legal Business Name | JASHVANT DANI MDPC
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 9433 JOSEPH CAMPAU ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-3435
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Country | US
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Telephone | 313-872-0398
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Fax | 313-872-0533
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Provider Business Mailing Address
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Address Line | 25185 WITHERSPOON ST
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335-1365
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Country | US
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Telephone | 248-565-1850
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Fax | 248-615-2999
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASHVANT C DANI
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Credential | M.D.
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Telephone | 248-615-2999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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