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General NPI Number Information
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NPI Number | 1093710675
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Entity Type | Organization
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Legal Business Name | HART FAMILY MEDICAL ASSOCIATES PC
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 05/22/2009
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Provider Practice Location Address
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Address Line | 611 EAST MAIN ST
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City | HART
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State | MI
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Zip | 49420-1190
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Country | US
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Telephone | 231-873-5675
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Fax | 231-873-4805
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Provider Business Mailing Address
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Address Line | 611 EAST MAIN ST
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City | HART
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State | MI
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Zip | 49420-1190
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Country | US
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Telephone | 231-873-5675
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Fax | 231-873-4805
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUDY C OCHS
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Credential | DO
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Telephone | 231-873-5675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | AB03370
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101011414
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101011554
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License Number State | MI
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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 | 5101009698
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4101133105
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License Number State | MI
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Taxonomy #6
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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 | MI
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