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General NPI Number Information
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NPI Number | 1073508255
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Entity Type | Organization
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Legal Business Name | EAST CENTRAL ONCOLOGY ASSOCIATES PLC
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 4011 ORCHARD DR STE 1000
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City | MIDLAND
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State | MI
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Zip | 48640-6190
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Country | US
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Telephone | 989-631-3975
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Fax | 989-631-4844
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Provider Business Mailing Address
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Address Line | 4011 ORCHARD DR STE 1000
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City | MIDLAND
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State | MI
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Zip | 48640-6160
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Country | US
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Telephone | 989-631-3975
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Fax | 989-631-4844
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHEL RENE HURTUBISE
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Credential | MD
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Telephone | 989-631-3975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 4301041385
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License Number State | MI
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