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General NPI Number Information
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NPI Number | 1427096684
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Entity Type | Organization
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Legal Business Name | MICHIGAN EM-I MEDICAL SERVICES, P.C.
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 916 MYRTLE ST
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City | STURGIS
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State | MI
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Zip | 49091-2326
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Country | US
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Telephone | 269-651-7824
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Fax | 269-659-6738
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Provider Business Mailing Address
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Address Line | PO BOX 41779
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City | PHILADELPHIA
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State | PA
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Zip | 19101-1779
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Country | US
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Telephone | 800-732-1066
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Fax | 630-941-4333
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. DOUGLAS P WEBSTER
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Credential | D.O.
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Telephone | 800-732-1066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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