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General NPI Number Information
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NPI Number | 1316655715
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Entity Type | Organization
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Legal Business Name | RESPONSIVE VISITING PHYSICIANS PLLC
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 49175 WEST RD
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City | WIXOM
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State | MI
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Zip | 48393-3552
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Country | US
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Telephone | 248-487-8686
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Fax | 248-694-2113
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Provider Business Mailing Address
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Address Line | 49175 WEST RD
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City | WIXOM
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State | MI
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Zip | 48393-3552
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Country | US
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Telephone | 248-487-8686
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JASON A SETSUDA
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Credential | DO
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Telephone | 248-487-8686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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