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General NPI Number Information
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NPI Number | 1871574269
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Entity Type | Organization
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Legal Business Name | ANN ARBOR ORTHOPAEDIC SPECIALISTS,P.C.
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 04/02/2013
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Provider Practice Location Address
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Address Line | 5315 ELLIOTT DR SUITE 304
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City | YPSILANTI
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State | MI
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Zip | 48197-8634
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Country | US
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Telephone | 734-712-0655
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Fax | 734-712-0611
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Provider Business Mailing Address
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Address Line | 5315 ELLIOTT DR SUITE 304
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City | YPSILANTI
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State | MI
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Zip | 48197-8634
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Country | US
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Telephone | 734-712-0655
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Fax | 734-712-0611
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Authorized Official
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Title or Position | PRESIDENT
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Name | J DAVID DENZIN
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Credential | M.D.
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Telephone | 734-712-0655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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