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General NPI Number Information
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NPI Number | 1265116693
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Entity Type | Organization
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Legal Business Name | NANUK HEALTH
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 1150 SHEFFIELD RD
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City | BATTLE CREEK
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State | MI
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Zip | 49017-8210
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Country | US
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Telephone | 808-698-6724
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Fax | 844-596-0406
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | RICHLAND
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State | MI
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Zip | 49083-0190
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Country | US
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Telephone | 808-698-6724
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Fax | 844-596-0406
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. DOUGLAS JOHAN ABRAHAM
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Credential | APRN, FNP-C, ENP-C
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Telephone | 808-698-6724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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