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General NPI Number Information
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NPI Number | 1821194861
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Entity Type | Individual
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Provider Name | ANIS A MILAD MD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 4550 INVESTMENT DRIVE SUITE 200
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City | TROY
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State | MI
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Zip | 48098
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Country | US
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Telephone | 248-267-5040
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Fax | 248-267-5041
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Provider Business Mailing Address
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Address Line | 43200 DEQUINDRE RD SUITE 104
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-1707
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Country | US
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Telephone | 586-799-4350
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Fax | 586-799-4279
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301028599
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License Number State | MI
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