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General NPI Number Information
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NPI Number | 1740233634
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Entity Type | Organization
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Legal Business Name | W.J.B., M.D., P.C.
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 02/08/2011
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Provider Practice Location Address
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Address Line | 200 ARNET ST SUITE 170
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City | YPSILANTI
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State | MI
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Zip | 48198-5753
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Country | US
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Telephone | 734-484-5492
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Fax | 734-484-5495
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Provider Business Mailing Address
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Address Line | 200 ARNET ST SUITE 170
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City | YPSILANTI
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State | MI
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Zip | 48198-5753
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Country | US
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Telephone | 734-484-5492
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Fax | 734-484-5495
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM JAY BINDER
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Credential | M.D.
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Telephone | 734-484-5492
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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 | 4301077015
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License Number State | MI
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