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General NPI Number Information
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NPI Number | 1265581730
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Entity Type | Individual
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Provider Name | CYNTHIA ANNE HOUSEL DO
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | WASHINGTON PRIMARY CARE 57850 VAN DYKE STE 600
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City | WASHINGTON
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State | MI
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Zip | 48094
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Country | US
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Telephone | 586-738-9448
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Fax | 586-781-0071
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Provider Business Mailing Address
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Address Line | WASHINGTON PRIMARY CARE 57850 VAN DYKE STE 600
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City | WASHINGTON
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State | MI
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Zip | 48094
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Country | US
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Telephone | 586-738-9448
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Fax | 586-781-0071
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101010267
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License Number State | MI
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