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General NPI Number Information
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NPI Number | 1427227461
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Entity Type | Organization
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Legal Business Name | BENJAMIN KRPICHAK M.D. P.C.
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 39595 W 10 MILE RD
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City | NOVI
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State | MI
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Zip | 48375-2948
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Country | US
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Telephone | 248-476-7462
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 287
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City | NOVI
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State | MI
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Zip | 48376-0287
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Country | US
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Telephone | 248-302-7682
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. BENJAMIN KRPICHAK
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Credential | M.D.
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Telephone | 248-302-7682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | BK078415
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License Number State | MI
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