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General NPI Number Information
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NPI Number | 1427944842
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Entity Type | Organization
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Legal Business Name | THE MEDICAL TEAM, INC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 17197 N LAUREL PARK DR STE 555
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City | LIVONIA
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State | MI
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Zip | 48152-2686
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Country | US
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Telephone | 734-779-7986
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Fax |
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Provider Business Mailing Address
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Address Line | 1896 PRESTON WHITE DR
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City | RESTON
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State | VA
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Zip | 20191-4325
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Country | US
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Telephone | 703-390-2300
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Fax |
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Authorized Official
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Title or Position | CORPORATE DIRECTOR
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Name | JENNIFER STILTNER
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Credential |
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Telephone | 703-390-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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