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General NPI Number Information
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NPI Number | 1730656273
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Entity Type | Organization
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Legal Business Name | MICHAEL DUCATO MD, PC
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Dates
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Enumeration Date | 11/01/2018
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 2901 WEST RD
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City | TRENTON
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State | MI
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Zip | 48183-2472
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Country | US
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Telephone | 734-676-6644
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Fax | 734-675-1858
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Provider Business Mailing Address
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Address Line | 2901 WEST RD
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City | TRENTON
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State | MI
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Zip | 48183-2472
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Country | US
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Telephone | 734-676-6644
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Fax | 734-675-1858
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Authorized Official
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Title or Position | MANAGER
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Name | MARY BRUNEEL
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Credential |
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Telephone | 313-291-4444
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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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