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General NPI Number Information
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NPI Number | 1922719376
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Entity Type | Organization
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Legal Business Name | ELEMENT FAMILY CARE PLLC
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Dates
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Enumeration Date | 12/07/2022
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 26850 PROVIDENCE PKWY STE 460
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City | NOVI
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State | MI
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Zip | 48374-1265
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Country | US
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Telephone | 248-938-0039
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Fax | 808-731-8531
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Provider Business Mailing Address
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Address Line | 335 HAGGERTY HWY # 1050
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48390-3919
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Country | US
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Telephone | 248-938-0039
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Fax | 808-731-8531
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VIKAS V BHIMANI
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Credential | MD
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Telephone | 248-938-0039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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