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General NPI Number Information
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NPI Number | 1366527814
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Entity Type | Organization
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Legal Business Name | HPCN
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 1675 LEAHY ST SUITE 312B
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City | MUSKEGON
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State | MI
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Zip | 49442-5500
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Country | US
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Telephone | 231-728-1993
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Fax | 231-728-1994
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Provider Business Mailing Address
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Address Line | 1675 LEAHY ST SUITE 312B
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City | MUSKEGON
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State | MI
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Zip | 49442-5500
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Country | US
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Telephone | 231-728-1993
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Fax | 231-728-1994
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LAVONNE JONES
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Credential |
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Telephone | 231-727-7910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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