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General NPI Number Information
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NPI Number | 1770758872
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Entity Type | Organization
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Legal Business Name | HARESH JANI MD PC
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 06/14/2009
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Provider Practice Location Address
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Address Line | 2575 SPRING ARBOR RD STE 400
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City | JACKSON
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State | MI
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Zip | 49203-3652
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Country | US
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Telephone | 517-787-7844
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Fax | 517-783-5044
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Provider Business Mailing Address
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Address Line | 2575 SPRING ARBOR RD STE 400
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City | JACKSON
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State | MI
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Zip | 49203-3652
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Country | US
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Telephone | 517-787-7844
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Fax | 517-783-5044
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Authorized Official
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Title or Position | OWNER
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Name | DR. HARESH JANI
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Credential | MD
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Telephone | 517-787-7844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | HJ064728
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License Number State | MI
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