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General NPI Number Information
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NPI Number | 1346497310
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Entity Type | Organization
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Legal Business Name | ST JOSEPH MERCY OAKLAND
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 44405 WOODWARD AVE
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City | PONTIAC
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State | MI
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Zip | 48341-5023
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Country | US
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Telephone | 248-858-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 900 MARTIN LUTHER KING JR BLVD S APT # D 114
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City | PONTIAC
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State | MI
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Zip | 48341-2900
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Country | US
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Telephone | 248-499-3586
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | DR. AKHIL UR RAHMAN
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Credential | MD
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Telephone | 248-499-3586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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