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General NPI Number Information
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NPI Number | 1417974312
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Entity Type | Organization
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Legal Business Name | HOWARD GREGG JR DO PC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 HOBART ST
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City | CADILLAC
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State | MI
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Zip | 49601-2331
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Country | US
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Telephone | 231-876-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 400 HOBART ST
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City | CADILLAC
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State | MI
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Zip | 49601-2331
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Country | US
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Telephone | 231-876-7200
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD W GREGG JR.
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Credential | DO
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Telephone | 231-876-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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