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General NPI Number Information
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NPI Number | 1417139197
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Entity Type | Organization
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Legal Business Name | GUY SAPERSTEIN DPM PC
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 06/10/2009
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Provider Practice Location Address
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Address Line | 26095 W 6 MILE RD
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City | REDFORD
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State | MI
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Zip | 48240-2216
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Country | US
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Telephone | 313-537-4030
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Fax |
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Provider Business Mailing Address
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Address Line | 26095 W 6 MILE RD
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City | REDFORD
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State | MI
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Zip | 48240-2216
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Country | US
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Telephone | 313-537-4030
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GUY STEVEN SAPERSTEIN
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Credential | DPM
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Telephone | 313-537-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | GS001536
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License Number State | MI
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