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General NPI Number Information
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NPI Number | 1538308424
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Entity Type | Organization
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Legal Business Name | JOYANTA K SAHA M.D. PLC
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 43361 COMMONS DR
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1109
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Country | US
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Telephone | 586-263-7190
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Fax | 586-263-7177
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Provider Business Mailing Address
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Address Line | 43361 COMMONS DR
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1109
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Country | US
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Telephone | 586-263-7190
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Fax | 586-263-7177
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JOYANTA K SAHA
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Credential | M.D.
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Telephone | 586-263-7190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301058457
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License Number State | MI
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