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General NPI Number Information
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NPI Number | 1508951633
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Entity Type | Individual
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Provider Name | SYLMARA EVELYN CHATMAN MD
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 17603 WEST TEN MILE ROAD
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 248-569-8420
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Fax | 248-569-8565
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Provider Business Mailing Address
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Address Line | 6689 ORCHARD LAKE RD STE 339
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3404
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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 |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 055117
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License Number State | MI
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