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General NPI Number Information
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NPI Number | 1902920655
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Entity Type | Individual
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Provider Name | PARVATHY THANKAM PILLAI M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 1500 E MEDICAL CENTER DR 1ST FLOOR TAUBMAN CTR RECP D
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City | ANN ARBOR
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State | MI
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Zip | 48109-0318
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Country | US
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Telephone | 734-763-2440
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Fax |
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Provider Business Mailing Address
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Address Line | 3621 S STATE ST 700 KMS PLACE
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City | ANN ARBOR
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State | MI
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Zip | 48108-1633
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Country | US
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Telephone | 734-936-2047
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301083574
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | 4301083574
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301083574
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License Number State | MI
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