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General NPI Number Information
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NPI Number | 1679510937
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Entity Type | Organization
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Legal Business Name | NSIMA USEN DPM, MPH, PC
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 20903 GREENFIELD ROAD SUITE 503
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 313-610-0872
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Fax |
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Provider Business Mailing Address
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Address Line | 20903 GREENFIELD ROAD SUITE 503
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 313-610-0872
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NSIMA MOSES USEN
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Credential | DPM, MPH
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Telephone | 313-610-0872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901002130
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License Number State | MI
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