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General NPI Number Information
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NPI Number | 1558645077
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Entity Type | Organization
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Legal Business Name | LADIES HEALTH PLACE PC
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 20276 MIDDLEBELT RD SUITE 2
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City | LIVONIA
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State | MI
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Zip | 48152-2054
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Country | US
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Telephone | 248-467-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 48641 STONERIDGE DR
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City | NORTHVILLE
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State | MI
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Zip | 48168-8599
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Country | US
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Telephone | 734-414-0707
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RITA SABBAGH
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Credential | MD
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Telephone | 248-467-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301071291
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License Number State | MI
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