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General NPI Number Information
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NPI Number | 1669926861
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Entity Type | Organization
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Legal Business Name | MY E-PHYSICIANS, PC
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Dates
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Enumeration Date | 08/05/2016
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Last Update Date | 08/22/2016
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Provider Practice Location Address
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Address Line | 1381 BIRMINGHAM BLVD
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City | BIRMINGHAM
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State | MI
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Zip | 48009-1997
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Country | US
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Telephone | 248-709-8470
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Fax |
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Provider Business Mailing Address
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Address Line | 41000 WOODWARD AVE SUITE 350 PMB3720
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-5130
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Country | US
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Telephone | 248-709-8470
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLEE COLEMAN
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Credential | MD
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Telephone | 248-709-8470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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