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General NPI Number Information
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NPI Number | 1376343582
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Entity Type | Organization
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Legal Business Name | MDSL HEALTH MI PLLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 900 W UNIVERSITY DR STE C-11
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City | ROCHESTER
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State | MI
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Zip | 48307-1817
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Country | US
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Telephone | 714-496-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 900 W UNIVERSITY DR STE C-11
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City | ROCHESTER
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State | MI
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Zip | 48307-1817
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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 | AUTHORIZED OFFICIAL
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Name | MALINI RANAT
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Credential | MD
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Telephone | 909-204-4191
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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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