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General NPI Number Information
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NPI Number | 1790411221
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Entity Type | Organization
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Legal Business Name | HOUSE MDS PLC
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 27177 LAHSER RD STE 203
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City | SOUTHFIELD
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State | MI
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Zip | 48034-8468
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Country | US
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Telephone | 248-556-5875
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Fax | 248-565-8809
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Provider Business Mailing Address
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Address Line | 27177 LAHSER RD STE 203
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City | SOUTHFIELD
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State | MI
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Zip | 48034-8468
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Country | US
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Telephone | 248-556-5875
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Fax | 248-565-8809
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JORAM MOGAKA
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Credential | MD
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Telephone | 407-432-7483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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