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General NPI Number Information
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NPI Number | 1437682101
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Entity Type | Individual
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Provider Name | SACHIN GANDHI
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Gender | Male
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Dates
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Enumeration Date | 04/09/2017
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 721 N MACOMB ST STE 100
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City | MONROE
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State | MI
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Zip | 48162-2982
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Country | US
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Telephone | 313-221-8560
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Fax |
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Provider Business Mailing Address
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Address Line | 19335 ALLEN RD
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City | BROWNSTOWN TWP
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State | MI
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Zip | 48183-1003
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Country | US
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Telephone |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301506701
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License Number State | MI
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