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General NPI Number Information
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NPI Number | 1437690062
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Entity Type | Individual
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Provider Name | FJOLLA BERISHAJ COLLEGE
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Gender | Female
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 41521 W 11 MILE RD
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City | NOVI
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State | MI
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Zip | 48375-1803
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Country | US
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Telephone | 248-299-0030
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Fax |
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Provider Business Mailing Address
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Address Line | 622125 MILE RD APT6
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316
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Country | US
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Telephone | 586-690-1864
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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 | 2472E0500X
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Taxonomy Name | EEG Technician
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License Number |
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License Number State |
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