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General NPI Number Information
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NPI Number | 1023202454
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Entity Type | Organization
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Legal Business Name | LANSING FAMILY PHYSICIANS PC
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 4202 COLLINS RD SUITE 115
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City | LANSING
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State | MI
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Zip | 48910-5894
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Country | US
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Telephone | 517-484-4520
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Fax | 517-484-3930
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Provider Business Mailing Address
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Address Line | 4202 COLLINS RD SUITE 115
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City | LANSING
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State | MI
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Zip | 48910-5894
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Country | US
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Telephone | 517-484-4520
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Fax | 517-484-3930
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN MORTON EGGER
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Credential | MD
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Telephone | 517-484-4520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 4301042365
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License Number State | MI
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