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General NPI Number Information
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NPI Number | 1477828192
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Entity Type | Organization
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Legal Business Name | HGP SERVICES PC
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 03/15/2012
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Provider Practice Location Address
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Address Line | 6985 MILLER DR
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City | WARREN
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State | MI
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Zip | 48092-4725
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Country | US
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Telephone | 586-264-3500
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Fax | 586-264-3495
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Provider Business Mailing Address
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Address Line | 6985 MILLER DR
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City | WARREN
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State | MI
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Zip | 48092-4725
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Country | US
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Telephone | 586-264-3500
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Fax | 586-264-3495
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARRY GLENN PARR
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Credential | DO
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Telephone | 586-264-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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