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General NPI Number Information
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NPI Number | 1447219365
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Entity Type | Individual
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Provider Name | VASUDEV R GARLAPATY MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 14500 NORTHLINE RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-2402
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Country | US
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Telephone | 734-281-4197
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Fax | 734-282-0093
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Provider Business Mailing Address
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Address Line | 1640 FORT ST SUITE D ATTN DENISE
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City | TRENTON
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State | MI
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Zip | 48183-2040
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Country | US
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Telephone | 734-391-3057
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Fax | 734-391-3052
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME111983
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 4301039321
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License Number State | MI
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