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General NPI Number Information
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NPI Number | 1962653238
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Entity Type | Organization
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Legal Business Name | OAKLAND ANESTHESIA CARE ASSOCIATES PLLC
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 50 N PERRY ST
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City | PONTIAC
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State | MI
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Zip | 48342-2217
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Country | US
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Telephone | 248-396-0171
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 210339
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City | AUBURN HILLS
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State | MI
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Zip | 48321-0339
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Country | US
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Telephone | 248-396-0171
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL URBANOWSKI
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Credential | D.O.
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Telephone | 248-396-0171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | MI
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