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General NPI Number Information
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NPI Number | 1790009868
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Entity Type | Organization
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Legal Business Name | SHEILA M. RAY MD PC
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 13136 FORT ST.
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City | SOUTHGATE
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State | MI
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Zip | 48195
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Country | US
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Telephone | 734-284-7223
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Fax | 734-284-9580
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Provider Business Mailing Address
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Address Line | 13136 FORT ST
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City | SOUTHGATE
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State | MI
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Zip | 48195-1102
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Country | US
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Telephone | 734-284-7223
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Fax | 734-284-9580
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SHEILA M RAY
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Credential | MD
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Telephone | 734-284-7223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 051263
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License Number State | MI
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