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General NPI Number Information
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NPI Number | 1982666202
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Entity Type | Organization
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Legal Business Name | DOWNRIVER GASTROENTEROLOGY, P.C.
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 25000 HALL RD STE 200
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City | WOODHAVEN
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State | MI
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Zip | 48183-5112
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Country | US
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Telephone | 734-692-6566
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Fax | 734-692-2517
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Provider Business Mailing Address
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Address Line | 25000 HALL RD STE 200
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City | WOODHAVEN
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State | MI
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Zip | 48183-5112
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Country | US
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Telephone | 734-692-6566
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Fax | 734-692-2517
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANK HARDEEP SINGH
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Credential | D.O.
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Telephone | 734-692-6566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 5101012773
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License Number State | MI
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