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General NPI Number Information
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NPI Number | 1326070145
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Entity Type | Organization
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Legal Business Name | HURON FAMILY PRACTICE CENTER PC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 1225 10TH ST HURON FAMILY PRACTICE CENTER PC
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City | PORT HURON
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State | MI
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Zip | 48060-5205
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Country | US
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Telephone | 810-987-6200
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Fax | 810-987-8717
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Provider Business Mailing Address
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Address Line | 1225 10TH ST HURON FAMILY PRACTICE CENTER
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City | PORT HURON
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State | MI
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Zip | 48060-5205
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Country | US
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Telephone | 810-987-6200
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Fax | 810-987-8717
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JEAN ELLEN RUTHVEN
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Credential | RN
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Telephone | 810-987-6200
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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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