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General NPI Number Information
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NPI Number | 1245394576
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Entity Type | Organization
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Legal Business Name | HAND & PLASTIC SURGERY CENTRE PLC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 245 CHERRY ST SE SUITE 302
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-4607
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Country | US
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Telephone | 616-459-4131
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Fax | 616-459-6030
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Provider Business Mailing Address
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Address Line | 245 CHERRY ST SE SUITE 302
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-4607
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Country | US
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Telephone | 616-459-4131
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Fax | 616-459-6030
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | KATHY ALLEN-STOUFFER
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Credential |
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Telephone | 616-459-4131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number |
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License Number State | MI
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