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General NPI Number Information
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NPI Number | 1760786107
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Entity Type | Organization
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Legal Business Name | INNERSIGHT DIAGNOSTICS
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Dates
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Enumeration Date | 12/28/2010
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Last Update Date | 12/28/2010
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Provider Practice Location Address
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Address Line | 9572 CHATHAM
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City | DETROIT
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State | MI
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Zip | 48239-1306
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Country | US
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Telephone | 313-434-6057
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Fax |
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Provider Business Mailing Address
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Address Line | 9572 CHATHAM
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City | DETROIT
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State | MI
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Zip | 48239-1306
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Country | US
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Telephone | 313-434-6057
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Fax |
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Authorized Official
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Title or Position | CEO/MANAGER
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Name | MR. ERIC W TURNER
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Credential | M.A.,,RDCS(E)
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Telephone | 313-434-6057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number |
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License Number State |
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