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General NPI Number Information
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NPI Number | 1821331372
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Entity Type | Organization
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Legal Business Name | AMERICAN HEALTHCARE NETWORK LLC
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 30201 ORCHARD LAKE RD SUITE 115
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2235
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Country | US
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Telephone | 248-905-1112
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Fax | 888-965-9806
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Provider Business Mailing Address
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Address Line | 30201 ORCHARD LAKE RD SUITE 115
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2235
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Country | US
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Telephone | 248-905-1112
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Fax | 888-965-9806
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MR. VAUGHN M MASROPIAN
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Credential |
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Telephone | 248-376-0996
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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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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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