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General NPI Number Information
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NPI Number | 1205884798
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Entity Type | Organization
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Legal Business Name | TEMPLE STREET FAMILY PRACTICE P.C.
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 230 TEMPLE ST
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City | MASON
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State | MI
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Zip | 48854-1837
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Country | US
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Telephone | 517-676-9066
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Fax | 517-676-3505
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Provider Business Mailing Address
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Address Line | 230 TEMPLE ST PO BOX 39
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City | MASON
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State | MI
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Zip | 48854-1837
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Country | US
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Telephone | 517-676-9066
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Fax | 517-676-3505
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. DAWN E. SPRINGER
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Credential | M.D.
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Telephone | 517-676-9066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 4301039046
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License Number State | MI
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