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General NPI Number Information
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NPI Number | 1508044405
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Entity Type | Organization
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Legal Business Name | SALLY SZYMANSKI DO PC
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 5340 PLYMOUTH ROAD SUITE 207
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City | ANN ARBOR
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State | MI
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Zip | 48105
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Country | US
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Telephone | 734-649-4124
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1226
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City | ANN ARBOR
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State | MI
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Zip | 48106
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Country | US
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Telephone | 734-649-4124
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION
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Name | DR. SALLY ROSE SZYMANSKI
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Credential | DO
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Telephone | 734-649-4124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 5101008741
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License Number State | MI
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