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General NPI Number Information
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NPI Number | 1376632984
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Entity Type | Organization
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Legal Business Name | IVF MICHIGAN RH & FLINT
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 2 HURLEY PLZ SUITE 209
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City | FLINT
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State | MI
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Zip | 48503-5903
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Country | US
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Telephone | 810-262-9714
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Fax | 810-262-7040
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Provider Business Mailing Address
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Address Line | 2 HURLEY PLZ SUITE 209
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City | FLINT
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State | MI
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Zip | 48503-5903
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Country | US
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Telephone | 810-262-9714
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Fax | 810-262-7040
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KRISTEN STRONG
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Credential |
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Telephone | 810-262-9522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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