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General NPI Number Information
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NPI Number | 1992817076
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Entity Type | Individual
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Provider Name | PRITPAL SINGH PURI M.D
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HARPER HOSPITAL 3990JOHN R C/O MEDICAL AFFAIRS
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City | DETROIT
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State | MI
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Zip | 48201-2403
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Country | US
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Telephone | 313-745-2332
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Fax | 313-745-8907
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Provider Business Mailing Address
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Address Line | 2746 LIMERICK LN
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City | TROY
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State | MI
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Zip | 48098-2192
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Country | US
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Telephone | 248-828-3415
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Fax | 248-828-3415
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301032315
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License Number State | MI
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