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General NPI Number Information
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NPI Number | 1356549679
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN FAMILY MEDICINE, P.C.
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Dates
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Enumeration Date | 07/09/2007
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | G3169 BEECHER RD STE 102
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City | FLINT
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State | MI
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Zip | 48532-3644
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Country | US
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Telephone | 810-422-9235
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Fax | 810-422-9174
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Provider Business Mailing Address
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Address Line | G3169 BEECHER RD STE 102
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City | FLINT
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State | MI
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Zip | 48532-3644
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Country | US
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Telephone | 810-422-9235
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Fax | 810-422-9174
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MRS. ROCHELL DENELL HARPER-SHELTON
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Credential | BA, MS
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Telephone | 810-422-9235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 4301053372
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License Number State | MI
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