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General NPI Number Information
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NPI Number | 1164676714
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Entity Type | Organization
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Legal Business Name | WE CARE FAMILY PRACTICE
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 609 E JOLLY RD 12-C
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City | LANSING
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State | MI
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Zip | 48910-6801
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Country | US
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Telephone | 517-882-3900
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Fax | 517-882-5060
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Provider Business Mailing Address
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Address Line | 609 E JOLLY RD 12-C
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City | LANSING
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State | MI
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Zip | 48910-6801
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Country | US
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Telephone | 517-882-3900
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Fax | 517-882-5060
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FREDERICK ARNOLD HOGAN
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Credential | DO
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Telephone | 517-214-3395
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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 | 5101009418
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License Number State | MI
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