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General NPI Number Information
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NPI Number | 1598166324
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Entity Type | Organization
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Legal Business Name | MICHIGAN RHEUMATOLOGY CENTER
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 44344 DEQUINDRE RD SUITE 470
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-1038
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Country | US
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Telephone | 248-904-7960
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Fax |
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Provider Business Mailing Address
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Address Line | 44344 DEQUINDRE RD SUITE 470
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-1038
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAHPARA SYED
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Credential |
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Telephone | 248-904-7960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 4301078160
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License Number State | MI
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