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General NPI Number Information
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NPI Number | 1306286893
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Entity Type | Individual
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Provider Name | JOSEPH GORZ D.O
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Gender | Male
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1261 S LAPEER RD STE 202
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City | LAKE ORION
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State | MI
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Zip | 48360-1419
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Country | US
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Telephone | 248-690-9181
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Fax | 248-690-9675
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Provider Business Mailing Address
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Address Line | 1261 S LAPEER RD STE 202
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City | LAKE ORION
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State | MI
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Zip | 48360-1419
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Country | US
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Telephone | 248-690-9181
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Fax | 248-690-9675
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101020477
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License Number State | MI
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