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General NPI Number Information
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NPI Number | 1316083116
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Entity Type | Organization
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Legal Business Name | NONINVASIVE VASCULAR TESTING INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5325 ELLIOTT DR
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City | YPSILANTI
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State | MI
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Zip | 48197-8633
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Country | US
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Telephone | 734-434-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 MCAULEY DR
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City | YPSILANTI
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State | MI
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Zip | 48197-1051
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Country | US
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Telephone | 734-434-4200
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. SETH W. WOLK
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Credential | M.D.
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Telephone | 734-434-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246XC2903X
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Taxonomy Name | Vascular Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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