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General NPI Number Information
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NPI Number | 1528015427
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Entity Type | Individual
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Provider Name | LATHA THIRUCHELVAN KANNAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 22972 LAHSER RD
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City | SOUTHFIELD
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State | MI
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Zip | 48034-4408
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Country | US
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Telephone | 248-353-4777
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Fax | 248-353-4235
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Provider Business Mailing Address
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Address Line | 34687 PICKFORD DR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335-2073
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Country | US
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Telephone | 248-980-6150
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Fax | 248-353-4235
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 4301070401
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License Number State | MI
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