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General NPI Number Information
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NPI Number | 1154340693
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Entity Type | Individual
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Provider Name | JEFFREY T POSTMA DO
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 6559 PAW PAW AVE
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City | COLOMA
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State | MI
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Zip | 49038-8805
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Country | US
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Telephone | 269-463-3600
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Fax | 269-468-3334
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Provider Business Mailing Address
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Address Line | 6559 PAW PAW AVE
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City | COLOMA
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State | MI
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Zip | 49038-8805
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Country | US
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Telephone | 269-463-3600
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Fax | 269-468-3334
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 5101011309
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License Number State | MI
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