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General NPI Number Information
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NPI Number | 1447464045
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Entity Type | Organization
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Legal Business Name | BEECHER MEDICAL CLINIC INC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 4855 BERL DR
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City | SAGINAW
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State | MI
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Zip | 48604-2801
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Country | US
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Telephone | 989-799-8000
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Fax | 989-799-8797
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Provider Business Mailing Address
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Address Line | 1082 PROFESSIONAL DR SUITE G1
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City | FLINT
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State | MI
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Zip | 48532-3635
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Country | US
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Telephone | 810-230-7200
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Fax | 810-230-7202
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MANOHAR ATRI
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Credential | M.D.
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Telephone | 810-230-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MA406605
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License Number State | MI
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