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General NPI Number Information
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NPI Number | 1285985309
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Entity Type | Organization
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Legal Business Name | ROLANDO M. ESTUPIGAN D.O. P.C.
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Dates
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Enumeration Date | 09/28/2012
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 2265 LIVERNOIS RD STE 402
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City | TROY
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State | MI
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Zip | 48083-1606
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Country | US
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Telephone | 248-649-2430
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Fax | 248-649-4303
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Provider Business Mailing Address
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Address Line | 2265 LIVERNOIS STE 402
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City | TROY
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State | MI
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Zip | 48083-1606
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Country | US
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Telephone | 248-649-2430
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Fax | 248-649-4303
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROLANDO M. ESTUPIGAN
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Credential | D.O
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Telephone | 248-649-2430
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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 | 5101010979
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License Number State | MI
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