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General NPI Number Information
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NPI Number | 1316182777
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Entity Type | Organization
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Legal Business Name | DEARBORN MEDICAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 06/17/2011
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Provider Practice Location Address
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Address Line | 19855 WEST OUTER DR. SUITE L7
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City | DEARBORN
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State | MI
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Zip | 48124-2022
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Country | US
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Telephone | 313-277-4929
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Fax | 313-561-1842
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Provider Business Mailing Address
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Address Line | P.O. BOX 250704 6725 DALY RD.
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48325-0704
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Country | US
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Telephone | 248-788-7706
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Fax | 248-788-0276
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Authorized Official
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Title or Position | M.D. / OWNER
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Name | DR. URSZULA ANNA STUDZINSKI
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Credential | M.D.
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Telephone | 313-277-4929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 4301062467
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 4301062467
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301062467
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License Number State | MI
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