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General NPI Number Information
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NPI Number | 1396792206
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Entity Type | Organization
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Legal Business Name | ASSOCIATED RETINAL CONSULTANTS, PC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 952 N CENTER AVE
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City | GAYLORD
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State | MI
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Zip | 49735-9318
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Country | US
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Telephone | 989-448-0937
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Fax | 989-448-0941
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Provider Business Mailing Address
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Address Line | 2000 N HURON RIVER DR STE 100
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City | YPSILANTI
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State | MI
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Zip | 48197-1600
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Country | US
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Telephone | 248-319-0161
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Fax | 248-319-0170
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Authorized Official
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Title or Position | OWNER
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Name | ALAN JOEL RUBY
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Credential |
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Telephone | 248-319-0161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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