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General NPI Number Information
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NPI Number | 1639245103
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Entity Type | Organization
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Legal Business Name | ALAN FLIGIEL MD PLC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1650 FORT STREET SUITE B
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City | TRENTON
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State | MI
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Zip | 48183-2041
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Country | US
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Telephone | 734-676-3376
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Fax | 734-676-7162
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Provider Business Mailing Address
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Address Line | 1650 FORT STREET SUITE B
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City | TRENTON
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State | MI
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Zip | 48183-2041
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Country | US
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Telephone | 734-676-3376
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Fax | 734-676-7162
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Authorized Official
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Title or Position | MEMBER
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Name | ALAN FLIGIEL
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Credential | MD
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Telephone | 734-676-3376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 4301045623
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License Number State | MI
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