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General NPI Number Information
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NPI Number | 1497712129
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Entity Type | Individual
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Provider Name | JEREMY MICHAEL CURTIS NP
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 205 N EAST AVE
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City | JACKSON
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State | MI
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Zip | 49201-1753
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Country | US
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Telephone | 517-788-4750
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Fax | 517-789-5968
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Provider Business Mailing Address
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Address Line | PO BOX 2444
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City | DALTON
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State | GA
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Zip | 30722-2444
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Country | US
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Telephone | 706-271-0100
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704232820
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License Number State | MI
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