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General NPI Number Information
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NPI Number | 1528189636
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Entity Type | Organization
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Legal Business Name | EIN MEDICAL BILLING CORP
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1710 BOULAN DR
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City | TROY
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State | MI
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Zip | 48084-1538
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Country | US
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Telephone | 248-515-1035
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 BOULAN DR
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City | TROY
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State | MI
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Zip | 48084-1538
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Country | US
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Telephone | 248-515-1035
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERNST IBO NATER
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Credential | M.D.
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Telephone | 248-515-1035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 4301059922
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License Number State | MI
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