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General NPI Number Information
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NPI Number | 1427151067
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Entity Type | Individual
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Provider Name | AMITA D BISHNOI-SINGH M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 14500 HALL RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-1229
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Country | US
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Telephone | 586-247-3725
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FORD PL STE 3A
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 313-874-4806
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | AB072723
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License Number State | MI
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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 | 4301072723
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License Number State | MI
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