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General NPI Number Information
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NPI Number | 1912097130
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Entity Type | Organization
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Legal Business Name | PEDIATRIC & ADOLESCENT CARE, P.C.
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 41400 DEQUINDRE RD SUITE 121
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-3763
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Country | US
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Telephone | 586-731-1500
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Fax | 586-731-1363
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Provider Business Mailing Address
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Address Line | 41400 DEQUINDRE RD SUITE 121
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-3763
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Country | US
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Telephone | 586-731-1500
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Fax | 586-731-1363
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARUNA J. PAREKH
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Credential | M.D.
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Telephone | 586-731-1500
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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 |
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License Number State |
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