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General NPI Number Information
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NPI Number | 1679617419
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Entity Type | Organization
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Legal Business Name | LINDA M DUBAY MD PLLC
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 12/17/2009
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Provider Practice Location Address
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Address Line | 26850 PROVIDENCE PKWY STE 504
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City | NOVI
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State | MI
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Zip | 48374-1213
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Country | US
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Telephone | 248-662-4333
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Fax | 248-662-3022
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Provider Business Mailing Address
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Address Line | 26850 PROVIDENCE PKWY STE 504
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City | NOVI
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State | MI
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Zip | 48374-1213
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Country | US
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Telephone | 248-662-4333
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Fax | 248-662-3022
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. LINDA M. DUBAY
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Credential | M. D.
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Telephone | 248-662-4333
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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 | LD053074
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License Number State | MI
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