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General NPI Number Information
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NPI Number | 1043234719
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Entity Type | Organization
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Legal Business Name | HPCN
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 986 W NORTON AVE
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City | MUSKEGON
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State | MI
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Zip | 49441-4106
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Country | US
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Telephone | 231-737-2194
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Fax | 231-737-4524
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Provider Business Mailing Address
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Address Line | 986 W NORTON AVE
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City | MUSKEGON
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State | MI
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Zip | 49441-4106
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Country | US
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Telephone | 231-737-2194
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Fax | 231-737-4524
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Authorized Official
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Title or Position | INSURANCE & BILLING
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Name | NANCY J DOBB
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Credential |
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Telephone | 231-728-5081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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