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General NPI Number Information
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NPI Number | 1306756598
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Entity Type | Organization
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Legal Business Name | ACTIVE MEDICAL INFUSIONS PLLC
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 4020 VENOY RD STE 800
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City | WAYNE
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State | MI
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Zip | 48184-2495
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Country | US
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Telephone | 734-707-4630
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Fax | 844-707-4630
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Provider Business Mailing Address
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Address Line | 4020 VENOY RD STE 800
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City | WAYNE
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State | MI
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Zip | 48184-2495
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Country | US
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Telephone | 734-707-4630
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Fax | 844-707-4630
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. HARPINDER BHANGOO
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Credential |
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Telephone | 734-707-4630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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