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General NPI Number Information
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NPI Number | 1295905289
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Entity Type | Organization
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Legal Business Name | SERAPHIM PALLAS, MD PLLC
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 1900 S TELEGRAPH RD SUITE 201
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-0238
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Country | US
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Telephone | 248-332-8888
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Fax | 248-332-9460
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Provider Business Mailing Address
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Address Line | 18894 VALENCIA ST
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City | NORTHVILLE
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State | MI
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Zip | 48168-1823
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Country | US
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Telephone | 248-332-8888
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Fax | 248-332-9460
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Authorized Official
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Title or Position | OWNER
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Name | DR. SERAPHIM PALLAS
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Credential | MD
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Telephone | 248-332-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | SP063211
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License Number State | MI
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