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General NPI Number Information
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NPI Number | 1730128190
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Entity Type | Organization
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Legal Business Name | FARMINGTON HILLS MEDICAL CENTER, PC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 30840 NORTHWESTERN HWY SUITE 110
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2552
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Country | US
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Telephone | 248-626-0199
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Fax |
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Provider Business Mailing Address
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Address Line | 3316 PARKLAND DR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-1828
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Country | US
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Telephone | 248-626-6345
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. THOMAS JACOB PATTY
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Credential | PHD
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Telephone | 248-626-0199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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