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General NPI Number Information
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NPI Number | 1316104177
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Entity Type | Organization
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Legal Business Name | NEELAM DUTT MD PC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | G3535 BEECHER RD STE H
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City | FLINT
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State | MI
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Zip | 48532-2700
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Country | US
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Telephone | 810-732-9000
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Fax | 810-732-8370
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Provider Business Mailing Address
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Address Line | G3535 BEECHER RD STE H
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City | FLINT
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State | MI
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Zip | 48532-2700
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Country | US
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Telephone | 810-732-9000
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Fax | 810-732-8370
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NEELAM DUTT
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Credential | MD
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Telephone | 810-732-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ND407280
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License Number State | MI
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