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General NPI Number Information
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NPI Number | 1346249547
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Entity Type | Organization
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Legal Business Name | NORTHEAST MICHIGAN PULMONARY ASSOCIATES
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 800 COOPER AVE SUITE 4
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City | SAGINAW
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State | MI
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Zip | 48602-5394
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Country | US
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Telephone | 989-753-9200
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Fax | 989-753-2198
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Provider Business Mailing Address
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Address Line | 800 COOPER AVE SUITE 4
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City | SAGINAW
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State | MI
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Zip | 48602-5394
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Country | US
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Telephone | 989-753-9200
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Fax | 989-753-2198
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS E. DAMUTH
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Credential | M.D.
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Telephone | 989-753-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State | MI
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