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General NPI Number Information
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NPI Number | 1487280681
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Entity Type | Organization
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Legal Business Name | AML MEDICAL PLLC
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 17330 NORTHLAND PARK CT STE 205
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4323
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Country | US
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Telephone | 313-801-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 2222 W GRAND RIVER AVE STE A
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City | OKEMOS
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State | MI
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Zip | 48864-1604
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASIA MAXINE BRADLEY
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Credential | MD
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Telephone | 313-204-1325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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