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General NPI Number Information
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NPI Number | 1134357528
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Entity Type | Organization
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Legal Business Name | NORTON SHORES INTERNAL MEDICINE & NEPHROLOGY PLC
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 433 SEMINOLE RD SUITE 204
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City | MUSKEGON
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State | MI
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Zip | 49444-3743
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Country | US
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Telephone | 231-733-7777
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Fax | 231-733-7778
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Provider Business Mailing Address
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Address Line | 433 SEMINOLE RD SUITE 204
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City | MUSKEGON
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State | MI
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Zip | 49444-3743
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Country | US
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Telephone | 231-733-7777
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Fax | 231-733-7778
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Authorized Official
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Title or Position | OWNER
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Name | DR. YUMIKO KNUDSON
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Credential | MD
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Telephone | 231-733-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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