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General NPI Number Information
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NPI Number | 1649355801
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Entity Type | Organization
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Legal Business Name | CYNTHIA R AKS DO PC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 13383 REECK RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-3054
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Country | US
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Telephone | 734-285-8144
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Fax | 734-285-8104
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Provider Business Mailing Address
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Address Line | 13383 REECK CT
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City | SOUTHGATE
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State | MI
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Zip | 48195-3054
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Country | US
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Telephone | 734-285-8144
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Fax | 734-285-8104
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CYNTHIA R AKS
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Credential | DO
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Telephone | 734-285-8144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | CA009351
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License Number State | MI
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