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General NPI Number Information
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NPI Number | 1366825986
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Entity Type | Organization
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Legal Business Name | EAST MICHIGAN HOSPITALISTS PLLC
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Dates
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Enumeration Date | 07/01/2015
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 1217 KEARNEY ST SUITE 2
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City | PORT HURON
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State | MI
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Zip | 48060-3571
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Country | US
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Telephone | 810-990-8302
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Fax | 810-990-8402
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Provider Business Mailing Address
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Address Line | 1217 KEARNEY ST SUITE 2
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City | PORT HURON
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State | MI
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Zip | 48060-3571
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Country | US
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Telephone | 810-990-8302
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Fax | 810-990-8402
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Authorized Official
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Title or Position | PRESIDENT
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Name | PONON D KUMAR
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Credential | MD
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Telephone | 586-260-9616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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