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General NPI Number Information
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NPI Number | 1538828314
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Entity Type | Organization
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Legal Business Name | HOMEWARD PHYSICIANS , PLLC
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1414 W FAIR AVE STE 242
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City | MARQUETTE
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State | MI
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Zip | 49855-5406
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Country | US
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Telephone | 612-644-4207
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Fax | 833-626-1945
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Provider Business Mailing Address
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Address Line | 1414 W FAIR AVE STE 242
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City | MARQUETTE
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State | MI
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Zip | 49855-5406
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Country | US
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Telephone | 612-644-4207
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Fax | 616-236-4573
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Authorized Official
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Title or Position | SENIOR DIRECTOR, REVENUE CYCLE MANA
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Name | ELISE DEPEW
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Credential |
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Telephone | 612-644-4207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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