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General NPI Number Information
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NPI Number | 1346361946
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Entity Type | Organization
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Legal Business Name | BLOOMFIELD HILLS PEDIATRICS
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 43750 WOODWARD AVE STE 104
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-5063
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Country | US
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Telephone | 248-334-6000
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Fax | 248-334-8740
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Provider Business Mailing Address
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Address Line | 43750 WOODWARD AVE STE 104
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-5063
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Country | US
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Telephone | 248-334-6000
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Fax | 248-334-8740
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Authorized Official
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Title or Position | OWNER
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Name | FIDELINA NITURA BARACEROS
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Credential | MD
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Telephone | 248-334-6000
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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 | FB035468
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License Number State | MI
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