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General NPI Number Information
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NPI Number | 1083762793
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS MEDICAL CENTER, PC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 19335 MERRIMAN RD
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City | LIVONIA
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State | MI
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Zip | 48152-1754
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Country | US
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Telephone | 248-474-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 19335 MERRIMAN RD
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City | LIVONIA
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State | MI
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Zip | 48152-1754
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Country | US
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Telephone | 248-474-4900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEAN PATRICK COYLE
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Credential | MD
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Telephone | 248-474-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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