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General NPI Number Information
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NPI Number | 1730960709
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE PHYSICIANS PLLC
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Dates
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Enumeration Date | 10/06/2023
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 26300 WOODWARD AVE
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City | ROYAL OAK
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State | MI
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Zip | 48067-0917
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Country | US
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Telephone | 855-234-9873
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Fax |
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Provider Business Mailing Address
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Address Line | 18000 W 9 MILE RD STE 200
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4020
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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 | MANAGING MEMBER
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Name | GREG S NAMAN
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Credential |
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Telephone | 248-336-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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