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General NPI Number Information
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NPI Number | 1922249366
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Entity Type | Organization
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Legal Business Name | NEPHROLOGY ASSOCIATES OF MICHIGAN PC
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 5333 MCAULEY DR STE 4003
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City | YPSILANTI
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State | MI
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Zip | 48197
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Country | US
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Telephone | 734-712-3470
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Fax | 734-712-2935
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Provider Business Mailing Address
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Address Line | 5333 MCAULEY DR STE 4003
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City | YPSILANTI
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State | MI
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Zip | 48197
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Country | US
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Telephone | 734-712-3470
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Fax | 734-712-2935
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | TABETHA LYNN THOMPSON
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Credential |
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Telephone | 734-712-3132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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