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General NPI Number Information
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NPI Number | 1033087390
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Entity Type | Organization
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Legal Business Name | PERSONAL MEDICAL CARE PLLC
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 5036 STONEHENGE DR
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City | PORTAGE
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State | MI
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Zip | 49024-5727
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Country | US
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Telephone | 269-716-3574
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Fax |
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Provider Business Mailing Address
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Address Line | 5036 STONEHENGE DR
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City | PORTAGE
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State | MI
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Zip | 49024-5727
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Country | US
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Telephone | 269-716-3574
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIRIAM YVONNE VELDT
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Credential | M.D.
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Telephone | 999-999-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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