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General NPI Number Information
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NPI Number | 1750328159
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Entity Type | Organization
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Legal Business Name | ANDREW WARREN SAXE
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 3200 BEECHER RD
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City | FLINT
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State | MI
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Zip | 48503-4968
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Country | US
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Telephone | 810-342-5519
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Fax |
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Provider Business Mailing Address
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Address Line | 401 S BALLENGER HWY ATTN: CRYSTAL BERESFORD
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City | FLINT
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State | MI
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Zip | 48532-3638
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Country | US
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Telephone | 810-342-1541
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Fax | 810-342-1591
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Authorized Official
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Title or Position | PHYSICIAN/SOLE PROPRIETOR
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Name | DR. ANDREW WARREN SAXE
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Credential | M.D.
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Telephone | 810-342-5519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301029389
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License Number State | MI
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