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General NPI Number Information
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NPI Number | 1205871548
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 04/28/2014
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Provider Practice Location Address
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Address Line | 111 LANSING ST SUITE 110
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City | CHARLOTTE
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State | MI
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Zip | 48813-2400
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Country | US
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Telephone | 517-543-7720
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Fax | 517-543-1125
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Provider Business Mailing Address
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Address Line | 111 LANSING ST SUITE 110
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City | CHARLOTTE
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State | MI
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Zip | 48813-2400
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Country | US
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Telephone | 517-543-7720
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Fax | 517-543-1125
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAMES D BALGER
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Credential | D.O.
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Telephone | 517-543-7720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 007654
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License Number State | MI
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