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General NPI Number Information
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NPI Number | 1437227923
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Entity Type | Organization
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Legal Business Name | NORTH POINT MEDICAL CENTER PC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 9838 DIXIE HWY
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City | IRA
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State | MI
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Zip | 48023-2813
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Country | US
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Telephone | 586-725-9611
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Fax | 586-725-2630
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Provider Business Mailing Address
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Address Line | PO BOX 327
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City | ANCHORVILLE
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State | MI
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Zip | 48004-0327
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Country | US
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Telephone | 586-725-9611
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Fax | 586-725-2630
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARRY J GROSS
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Credential | DO
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Telephone | 586-725-9611
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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 | 5101007067
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License Number State | MI
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