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General NPI Number Information
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NPI Number | 1447697164
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Entity Type | Individual
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Provider Name | JESSIE ALPERIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 11885 E 12 MILE RD STE 100B
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City | WARREN
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State | MI
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Zip | 48093-3465
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Country | US
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Telephone | 586-751-7515
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Fax | 586-751-1302
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Provider Business Mailing Address
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Address Line | 29992 NORTHWESTERN HWY STE C
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3292
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Country | US
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Telephone | 248-851-1423
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Fax | 248-851-5319
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301103135
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 4301103135
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License Number State | MI
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