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General NPI Number Information
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NPI Number | 1033326814
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Entity Type | Organization
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Legal Business Name | COMMUNITY FAMILY PHYSICIANS, PC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 1724 W PLYMOUTH ST
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City | BREMEN
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State | IN
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Zip | 46506-1940
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Country | US
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Telephone | 574-546-3045
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Fax | 575-546-2716
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Provider Business Mailing Address
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Address Line | 1724 W PLYMOUTH ST
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City | BREMEN
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State | IN
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Zip | 46506-1940
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Country | US
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Telephone | 574-546-3045
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Fax | 575-546-2716
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. ALICIA LINSE
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Credential |
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Telephone | 574-546-3045
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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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