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General NPI Number Information
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NPI Number | 1568584316
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Entity Type | Organization
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Legal Business Name | ASCENDING HOME PHYSICIANS, P.C.
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 22100 GREENFIELD RD
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City | OAK PARK
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State | MI
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Zip | 48237-2550
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Country | US
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Telephone | 248-967-3200
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Fax | 248-967-1387
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Provider Business Mailing Address
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Address Line | 22100 GREENFIELD RD
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City | OAK PARK
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State | MI
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Zip | 48237-2550
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Country | US
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Telephone | 248-967-3200
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Fax | 248-967-1387
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARTHUR IRVING BOUIER
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Credential | D.O.
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Telephone | 248-967-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 5101007369
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License Number State | MI
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