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General NPI Number Information
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NPI Number | 1851516009
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Entity Type | Individual
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Provider Name | STANLEY A. FORFA D.O., M.S.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2007
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 870 E ARKONA RD SUITE 100
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City | MILAN
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State | MI
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Zip | 48160-9770
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Country | US
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Telephone | 734-439-2429
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Fax |
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DR PO BOX 0446, LOBBY J
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City | ANN ARBOR
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State | MI
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Zip | 48105-9484
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Country | US
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Telephone |
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101016495
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License Number State | MI
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