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General NPI Number Information
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NPI Number | 1326192311
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Entity Type | Individual
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Provider Name | JON D PAGET MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 826 W KING ST
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City | OWOSSO
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State | MI
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Zip | 48867-2120
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Country | US
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Telephone | 517-487-5585
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Fax | 517-487-1129
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Provider Business Mailing Address
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Address Line | 1031 E SAGINAW ST
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City | LANSING
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State | MI
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Zip | 48906-5519
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Country | US
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Telephone | 517-487-5585
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Fax | 517-487-1129
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 4301054100
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301054100
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301054100
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License Number State | MI
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