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General NPI Number Information
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NPI Number | 1508830894
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Entity Type | Individual
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Provider Name | ULF R HIERLWIMMER DO
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 12/23/2019
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Provider Practice Location Address
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Address Line | 904 WASHINGTON AVE STE 120
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City | HOLLAND
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State | MI
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Zip | 49423-7724
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Country | US
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Telephone | 616-392-8877
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Fax | 616-392-1755
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Provider Business Mailing Address
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Address Line | 126 COLLEGE ST STE D
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City | BATTLE CREEK
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State | MI
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Zip | 49037-3461
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Country | US
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Telephone | 269-969-8920
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Fax | 269-342-0532
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | UH006611
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License Number State | MI
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