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General NPI Number Information
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NPI Number | 1134386857
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Entity Type | Organization
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Legal Business Name | BARNETT R. KANTZ, DO, PC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 100 POWELL DR SUITE 2
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City | DUNDEE
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State | MI
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Zip | 48131-8644
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Country | US
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Telephone | 734-529-5900
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Fax | 734-529-5999
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Provider Business Mailing Address
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Address Line | 100 POWELL DR SUITE 2
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City | DUNDEE
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State | MI
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Zip | 48131-8644
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Country | US
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Telephone | 734-529-5900
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Fax | 734-529-5999
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARNETT RONALD KANTZ
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Credential | D.O.
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Telephone | 734-529-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101013189
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License Number State | MI
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