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General NPI Number Information
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NPI Number | 1467960369
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Entity Type | Organization
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Legal Business Name | TWIN FAMILY MEDICAL PC
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Dates
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Enumeration Date | 01/14/2018
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 209 S MICHIGAN AVE
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City | BIG RAPIDS
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State | MI
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Zip | 49307-1809
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Country | US
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Telephone | 989-878-1973
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Fax |
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Provider Business Mailing Address
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Address Line | 209 S MICHIGAN AVE
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City | BIG RAPIDS
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State | MI
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Zip | 49307-1809
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Country | US
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Telephone | 616-840-1167
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Fax | 855-936-8856
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RACHEL M WILLIAMS
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Credential | MD
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Telephone | 616-840-1167
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 4301086484
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License Number State | MI
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