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General NPI Number Information
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NPI Number | 1447376033
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Entity Type | Organization
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Legal Business Name | KAMIL ORTHOPAEDIC GROUP PC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 6621 W MAPLE RD
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City | W BLOOMFIELD
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State | MI
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Zip | 48357
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Country | US
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Telephone | 248-661-4700
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Fax | 248-661-6210
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Provider Business Mailing Address
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Address Line | 6621 W MAPLE RD
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City | W BLOOMFIELD
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State | MI
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Zip | 48357
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Country | US
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Telephone | 248-661-4700
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Fax | 248-661-6210
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK A KAMIL
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Credential | M.D.
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Telephone | 248-661-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 43010LL043767
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 43010MM059872
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501004058
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 43010MK045030
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License Number State | MI
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