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General NPI Number Information
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NPI Number | 1578014502
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Entity Type | Organization
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Legal Business Name | VIJAYALAKSHMI NAGAPPAN MD PC
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 19270 HANNAN RD
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City | NEW BOSTON
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State | MI
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Zip | 48164-9812
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Country | US
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Telephone | 248-396-1306
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Fax |
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Provider Business Mailing Address
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Address Line | 4598 APPLETREE CT
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-3910
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Country | US
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Telephone | 248-396-1306
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VIJAYALAKSHMI NAGAPPAN
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Credential | M.D.
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Telephone | 248-396-1306
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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 | 4301076671
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License Number State | MI
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