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General NPI Number Information
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NPI Number | 1821025602
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Entity Type | Individual
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Provider Name | STEPHEN JAMES PALAJAC DPM
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 20927 KELLY RD
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City | EASTPOINTE
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State | MI
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Zip | 48021-3128
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Country | US
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Telephone | 586-777-8801
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Fax |
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Provider Business Mailing Address
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Address Line | 14825 W MCNICHOLS RD
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City | DETROIT
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State | MI
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Zip | 48235-3939
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Country | US
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Telephone | 734-772-4722
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Fax | 248-509-4070
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | JP002254
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License Number State | MI
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