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General NPI Number Information
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NPI Number | 1003927153
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Entity Type | Organization
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Legal Business Name | MUSKEGON RHEUMATOLOGY P.C.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 172 E FOREST AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-5541
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Country | US
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Telephone | 231-722-2036
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Fax |
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Provider Business Mailing Address
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Address Line | 172 E FOREST AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-5541
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Country | US
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Telephone | 231-722-2036
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT G HYLLAND
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Credential | MD
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Telephone | 231-722-2036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State | MI
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