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General NPI Number Information
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NPI Number | 1205327285
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Entity Type | Organization
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Legal Business Name | MID MICHIGAN FAMILY MEDICINE AND HEALTH CARE SERVICES PLLC
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Dates
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Enumeration Date | 05/24/2018
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 612 GREEN AVE
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City | BAY CITY
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State | MI
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Zip | 48708-6847
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Country | US
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Telephone | 973-932-8638
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Fax |
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Provider Business Mailing Address
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Address Line | 612 GREEN AVE
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City | BAY CITY
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State | MI
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Zip | 48708-6847
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Country | US
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Telephone | 973-932-8638
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JOSEPH VINCENT ZARRILLO
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Credential | MD
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Telephone | 973-932-8638
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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 | 4301108942
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License Number State | MI
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