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General NPI Number Information
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NPI Number | 1841639986
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Entity Type | Individual
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Provider Name | RICHARD JUSTIN GARLING MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2013
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Last Update Date | 12/22/2015
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Provider Practice Location Address
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Address Line | 4201 SAINT ANTOINE ST UHC 6E
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 313-745-4523
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Fax | 313-745-4099
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Provider Business Mailing Address
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Address Line | 4201 SAINT ANTOINE ST UHC 6E
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 313-745-4523
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Fax | 313-745-4099
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 4301106303
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | R74068
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License Number State | AZ
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