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General NPI Number Information
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NPI Number | 1598053415
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Entity Type | Individual
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Provider Name | ABHILASHA PANDEY M.D
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Gender | Female
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 04/16/2023
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Provider Practice Location Address
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Address Line | 1380 COOLIDGE HWY STE 220
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City | TROY
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State | MI
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Zip | 48084-7068
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Country | US
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Telephone | 248-825-3764
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Fax | 833-391-2161
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Provider Business Mailing Address
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Address Line | 755 W BIG BEAVER RD STE 2020
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City | TROY
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State | MI
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Zip | 48084-4925
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Country | US
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Telephone | 248-825-3764
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Fax | 833-391-2161
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 4301098903
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301098903
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License Number State | MI
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