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General NPI Number Information
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NPI Number | 1376797217
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Entity Type | Organization
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Legal Business Name | OAKLAND MEDICAL GROUP PC
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 11/05/2008
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Provider Practice Location Address
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Address Line | 11900 E 12 MILE RD SUITE 300
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City | WARREN
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State | MI
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Zip | 48093-3400
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Country | US
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Telephone | 586-751-7515
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Fax | 586-751-1302
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Provider Business Mailing Address
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Address Line | 11900 E 12 MILE RD SUITE 300
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City | WARREN
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State | MI
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Zip | 48093-3400
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Country | US
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Telephone | 586-751-7515
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Fax | 586-751-1302
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAROLD MARGOLIS
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Credential | DO
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Telephone | 248-851-1430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease 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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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