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General NPI Number Information
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NPI Number | 1679794697
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Entity Type | Individual
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Provider Name | VIORICA ELENA ALAWA D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 03/28/2015
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Provider Practice Location Address
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Address Line | 503 E MAIN ST
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City | OWOSSO
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State | MI
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Zip | 48867-3140
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Country | US
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Telephone | 989-723-2299
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Fax | 989-729-9109
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Provider Business Mailing Address
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Address Line | PO BOX 456
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City | OWOSSO
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State | MI
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Zip | 48867-0456
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Country | US
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Telephone | 989-723-2299
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Fax | 989-729-9109
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5101016747
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License Number State | MI
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