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General NPI Number Information
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NPI Number | 1447352075
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Entity Type | Organization
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Legal Business Name | MILLENNIUM MEDICAL GROUP WEST PC
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Dates
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Enumeration Date | 09/03/2006
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 6149 N WAYNE RD
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City | WESTLAND
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State | MI
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Zip | 48185-7128
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Country | US
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Telephone | 734-728-2130
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Fax | 734-728-2626
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Provider Business Mailing Address
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Address Line | 6149 N WAYNE RD
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City | WESTLAND
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State | MI
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Zip | 48185-7128
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Country | US
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Telephone | 734-728-2130
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Fax | 734-728-2626
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM R SILVERSTONE
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Credential | D.O.
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Telephone | 734-728-2130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) 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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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