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General NPI Number Information
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NPI Number | 1710305511
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Entity Type | Individual
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Provider Name | JOSEPH PAUL MASLAK MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 36622 FIVE MILE RD STE 101
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City | LIVONIA
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State | MI
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Zip | 48154-1900
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Country | US
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Telephone | 734-542-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 500 STEPHENSON HWY STE 300
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City | TROY
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State | MI
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Zip | 48083-1118
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Country | US
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Telephone |
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Fax |
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 35.135070
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 4301502425
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License Number State | MI
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