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General NPI Number Information
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NPI Number | 1902520208
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Entity Type | Organization
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Legal Business Name | RD MEDICAL, PLC
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 8180 26 MILE RD STE 300
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-5139
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Country | US
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Telephone | 248-274-6798
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Fax | 586-992-2830
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Provider Business Mailing Address
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Address Line | 8180 26 MILE RD STE 300
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-5139
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Country | US
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Telephone | 248-274-6798
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Fax | 586-992-2830
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ROBERT MUSSON
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Credential | MD
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Telephone | 330-242-3442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery 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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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