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General NPI Number Information
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NPI Number | 1962861815
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Entity Type | Organization
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Legal Business Name | DOCTOR ROBOT PLLC
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Dates
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Enumeration Date | 02/21/2016
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 22101 MOROSS RD
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City | DETROIT
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State | MI
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Zip | 48236-2148
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Country | US
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Telephone | 313-343-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1040 LOCHMOOR BLVD
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City | GROSSE POINTE WOODS
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State | MI
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Zip | 48236-1759
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Country | US
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Telephone | 313-399-1683
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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. SHAUN JAYAKAR
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Credential | M.D.
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Telephone | 313-399-1683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301086680
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License Number State | MI
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