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General NPI Number Information
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NPI Number | 1437826534
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Entity Type | Organization
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Legal Business Name | ASHISH RUNGTA MD PLLC
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 01/15/2022
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Provider Practice Location Address
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Address Line | 2565 TOPSHAM DR
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City | ROCHESTER HILLS
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State | MI
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Zip | 48306-3058
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Country | US
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Telephone | 248-206-0955
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Fax | 248-800-7262
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Provider Business Mailing Address
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Address Line | 2565 TOPSHAM DR
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City | ROCHESTER HILLS
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State | MI
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Zip | 48306-3058
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Country | US
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Telephone | 248-206-0955
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Fax | 248-800-7262
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. ASHISH RUNGTA
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Credential | MD
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Telephone | 248-252-3807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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