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General NPI Number Information
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NPI Number | 1407895469
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Entity Type | Organization
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Legal Business Name | ASSOCIATED OBSTETRICS & GYNECOLOGY, P.C.
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 2525 S TELEGRAPH RD SUITE 201
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-0286
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Country | US
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Telephone | 248-338-0100
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Fax | 248-977-3014
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Provider Business Mailing Address
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Address Line | 2525 S TELEGRAPH RD SUITE 201
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-0286
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Country | US
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Telephone | 248-338-0100
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Fax | 248-977-3014
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Authorized Official
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Title or Position | PRACRICE MANAGER
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Name | KRISTINE PARKE
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Credential |
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Telephone | 248-338-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | MI
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