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NPI 1467804401

NPI 1467804401 : KEVIN GARFIELD DPM : BIRMINGHAM, MI

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General NPI Number Information
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    NPI Number           |    1467804401
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    Entity Type          |    Individual 
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    Provider Name        |    KEVIN GARFIELD DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/01/2016
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    Last Update Date     |    10/07/2020
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Provider Practice Location Address
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    Address Line         |    1775 E 14 MILE RD STE 100 
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    City                 |    BIRMINGHAM
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    State                |    MI
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    Zip                  |    48009-7204
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    Country              |    US
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    Telephone            |    248-642-3338
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    Fax                  |    248-642-4939
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Provider Business Mailing Address
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    Address Line         |    829 BATAVIA AVE 
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    City                 |    ROYAL OAK
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    State                |    MI
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    Zip                  |    48067-3339
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    Country              |    US
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    Telephone            |    248-885-3846
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    Fax                  |    
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    5901002651
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    License Number State |    MI
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