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General NPI Number Information
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NPI Number | 1407963234
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Entity Type | Individual
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Provider Name | GARY EDWARD HOSEY DPM
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Gender | Male
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 64177 VAN DYKE RD
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City | WASHINGTON
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State | MI
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Zip | 48095-2580
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Country | US
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Telephone | 586-752-5770
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Fax | 586-752-5771
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Provider Business Mailing Address
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Address Line | 64177 VAN DYKE RD
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City | WASHINGTON
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State | MI
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Zip | 48095-2580
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Country | US
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Telephone | 810-329-0800
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Fax | 810-329-6543
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5901001469
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901001469
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License Number State | MI
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