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General NPI Number Information
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NPI Number | 1346367042
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Entity Type | Organization
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Legal Business Name | REED CITY EMERGENCY ASSOCIATES PLLC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 300 N PATTERSON RD
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City | REED CITY
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State | MI
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Zip | 49677-8041
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Country | US
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Telephone | 231-832-7110
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Fax | 231-832-0225
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Provider Business Mailing Address
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Address Line | PO BOX 272
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City | CADILLAC
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State | MI
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Zip | 49601-0272
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Country | US
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Telephone | 231-775-6076
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Fax | 231-775-0027
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAROLD K MOORES III
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Credential | M.D.
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Telephone | 231-829-9003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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