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General NPI Number Information
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NPI Number | 1811468895
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Entity Type | Organization
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Legal Business Name | TELEMEDICO PHYSICIANS OF MICHIGAN
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 12/17/2018
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Provider Practice Location Address
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Address Line | 24359 NORTHWESTERN HWY STE 200
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2597
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Country | US
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Telephone | 866-227-3606
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Fax | 773-439-2444
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Provider Business Mailing Address
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Address Line | PO BOX 1541
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City | NORTHBROOK
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State | IL
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Zip | 60065-1541
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Country | US
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Telephone | 866-227-3606
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Fax | 773-439-2444
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOEL OKNER
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Credential | MD
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Telephone | 866-227-3606
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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 |
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License Number State |
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