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General NPI Number Information
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NPI Number | 1467651471
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Entity Type | Organization
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Legal Business Name | PREFERRED FAMILY AND WOMEN'S CARE, P.C.
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 16 N CLAY ST
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City | COLDWATER
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State | MI
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Zip | 49036-1328
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Country | US
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Telephone | 517-278-2273
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Fax | 517-279-8883
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Provider Business Mailing Address
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Address Line | 16 N CLAY ST
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City | COLDWATER
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State | MI
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Zip | 49036-1328
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Country | US
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Telephone | 517-278-2273
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Fax | 517-279-8883
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFREY C. CUSTER
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Credential | MD
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Telephone | 517-278-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 4301051457
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License Number State | MI
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