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General NPI Number Information
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NPI Number | 1730793928
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Entity Type | Organization
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Legal Business Name | TRIA HEALTH, PLLC
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 06/15/2025
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Provider Practice Location Address
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Address Line | 2550 S TELEGRAPH RD STE 104
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-0951
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Country | US
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Telephone | 248-972-5143
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Fax |
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Provider Business Mailing Address
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Address Line | 1774 SUNSET DR
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-0207
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Country | US
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Telephone | 319-530-8368
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN MEMBER TRIA HEALTH
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Name | DR. RUBA KADO
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Credential | MD
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Telephone | 248-972-5143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology 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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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