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General NPI Number Information
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NPI Number | 1144431727
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Entity Type | Individual
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Provider Name | CATHERINE ANN CHURGAY M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 518 HARRIET ST
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City | YPSILANTI
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State | MI
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Zip | 48197-5358
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Country | US
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Telephone | 734-481-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 421 COLIN CIR
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City | ANN ARBOR
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State | MI
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Zip | 48103-6610
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Country | US
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Telephone | 734-662-4849
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301053174
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License Number State | MI
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