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General NPI Number Information
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NPI Number | 1811179054
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Entity Type | Individual
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Provider Name | NANTHINI D PALANICHAMY MD, FACC
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Gender | Female
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/30/2017
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Provider Practice Location Address
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Address Line | 44555 WOODWARD AVENUE SUITE #403
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City | PONTIAC
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State | MI
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Zip | 48341
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Country | US
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Telephone | 248-338-2420
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Fax | 248-858-3888
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Provider Business Mailing Address
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Address Line | 44555 WODWARD AVENUE STE #403
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City | PONTIAC
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State | MI
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Zip | 48341
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Country | US
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Telephone | 248-338-2420
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Fax | 248-858-3888
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MD.201543
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301080736
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License Number State | MI
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