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General NPI Number Information
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NPI Number | 1679520167
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Entity Type | Organization
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Legal Business Name | USHA R TAMPI MD PC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 730 NORTH MACOMB STREET SUITE 229
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City | MONROE
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State | MI
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Zip | 48162-2904
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Country | US
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Telephone | 734-243-4220
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Fax | 734-457-3131
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Provider Business Mailing Address
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Address Line | 730 NORTH MACOMB STREET SUITE 229
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City | MONROE
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State | MI
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Zip | 48162-2904
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Country | US
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Telephone | 734-243-4220
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Fax | 734-457-3131
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. USHA R TAMPI
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Credential | MD
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Telephone | 734-243-4220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 039683
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License Number State | MI
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