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General NPI Number Information
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NPI Number | 1316424286
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Entity Type | Organization
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Legal Business Name | ARK CONSULTING, PLLC
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 1 WILLIAM CARLS DR
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City | COMMERCE TWP
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State | MI
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Zip | 48382-2201
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Country | US
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Telephone | 248-937-4370
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Fax |
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Provider Business Mailing Address
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Address Line | 38500 WOODWARD AVE STE 300
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-5051
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HARRY SUKUMARAN
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Credential | MD
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Telephone | 248-227-2201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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