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General NPI Number Information
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NPI Number | 1982127981
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Entity Type | Organization
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Legal Business Name | COGNATE HEALTH ASSOCIATES PC
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Dates
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Enumeration Date | 07/21/2017
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Last Update Date | 07/21/2017
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Provider Practice Location Address
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Address Line | 14555 LEVAN RD STE 403
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City | LIVONIA
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State | MI
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Zip | 48154-5085
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Country | US
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Telephone | 313-506-7729
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Fax |
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Provider Business Mailing Address
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Address Line | 143 CADYCENTRE # 353
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City | NORTHVILLE
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State | MI
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Zip | 48167-1119
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Country | US
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Telephone | 313-506-7729
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Fax | 734-468-0148
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER DEWS
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Credential | MD
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Telephone | 313-506-7729
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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 |
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License Number State |
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