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NPI 1992790588

NPI 1992790588 : MARGARET E FADANELLI MD : DETROIT, MI

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General NPI Number Information
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    NPI Number           |    1992790588
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARET E FADANELLI MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/20/2005
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    Last Update Date     |    07/07/2025
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Provider Practice Location Address
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    Address Line         |    22201 MOROSS RD 252
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48236-2169
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    Country              |    US
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    Telephone            |    313-343-4411
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    Fax                  |    313-343-4412
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Provider Business Mailing Address
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    Address Line         |    6574 NORTHPOINT DR 
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    City                 |    TROY
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    State                |    MI
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    Zip                  |    48085-1420
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    Country              |    US
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    Telephone            |    586-662-3666
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    Fax                  |    586-210-8696
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    4301060624
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    License Number State |    MI
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