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General NPI Number Information
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NPI Number | 1275583106
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Entity Type | Organization
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Legal Business Name | NORTON REDI MED PLLC
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 747 W NORTON AVE
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City | MUSKEGON
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State | MI
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Zip | 49441-6526
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Country | US
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Telephone | 231-739-7334
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Fax | 231-737-6334
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Provider Business Mailing Address
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Address Line | 747 W NORTON AVE
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City | MUSKEGON
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State | MI
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Zip | 49441-6526
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Country | US
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Telephone | 231-739-7334
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Fax | 231-737-6334
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. WILLIAM F KIRCHHAINE JR.
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Credential | MD
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Telephone | 231-739-7334
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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 | WK049279
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License Number State | MI
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