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General NPI Number Information
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NPI Number | 1851365621
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Entity Type | Organization
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Legal Business Name | LAURA E BABE MD PLC
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 1100 W HURON ST
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City | ANN ARBOR
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State | MI
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Zip | 48103-4220
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Country | US
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Telephone | 734-761-2165
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Fax | 734-761-9033
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Provider Business Mailing Address
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Address Line | 1100 W HURON ST
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City | ANN ARBOR
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State | MI
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Zip | 48103-4220
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Country | US
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Telephone | 734-761-2165
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Fax | 734-761-9033
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Authorized Official
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Title or Position | OWNER/SINGLE MEMBER PLC
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Name | DR. LAURA BABE
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Credential | MD
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Telephone | 734-761-2165
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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 | 4301067944
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License Number State | MI
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