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General NPI Number Information
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NPI Number | 1386677466
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Entity Type | Organization
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Legal Business Name | ALMA FAMILY PRACTICE PC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 1335 PINE AVE
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City | ALMA
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State | MI
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Zip | 48801-1242
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Country | US
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Telephone | 989-463-2337
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Fax | 989-466-9631
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Provider Business Mailing Address
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Address Line | 1335 PINE AVE
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City | ALMA
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State | MI
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Zip | 48801-1242
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Country | US
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Telephone | 989-463-2337
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Fax | 989-466-9631
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CARRIE STEPHAN
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Credential |
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Telephone | 989-633-5220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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