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General NPI Number Information
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NPI Number | 1558468751
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Entity Type | Organization
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Legal Business Name | ASSOCIATED RADIOLOGISTS OF OAKLAND COUNTY PC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 44405 WOODWARD AVE
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City | PONTIAC
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State | MI
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Zip | 48341-5023
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Country | US
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Telephone | 248-620-9199
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Fax |
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Provider Business Mailing Address
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Address Line | 44405 WOODWARD AVE
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City | PONTIAC
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State | MI
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Zip | 48341-5023
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Country | US
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Telephone | 248-620-9199
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RITA JEAN PINK
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Credential | MD
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Telephone | 248-620-0758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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