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General NPI Number Information
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NPI Number | 1063712602
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Entity Type | Organization
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Legal Business Name | MIHEALTH DIAGNOSTICS
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Dates
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Enumeration Date | 10/29/2010
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 10071 HUNT DR
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City | DAVISON
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State | MI
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Zip | 48423-3524
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Country | US
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Telephone | 810-814-0559
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Fax |
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Provider Business Mailing Address
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Address Line | 10071 HUNT DR
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City | DAVISON
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State | MI
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Zip | 48423-3524
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MEGAN STRAUCHMAN
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Credential | D.O.
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Telephone | 810-814-0559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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