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General NPI Number Information
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NPI Number | 1558542902
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD FAMILY CARE PLLC
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 02/09/2011
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Provider Practice Location Address
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Address Line | 516 LINN ST
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City | ALLEGAN
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State | MI
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Zip | 49010-1525
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Country | US
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Telephone | 269-673-5200
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Fax | 866-708-5505
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Provider Business Mailing Address
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Address Line | 516 LINN ST
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City | ALLEGAN
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State | MI
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Zip | 49010-1525
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Country | US
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Telephone | 269-673-5200
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Fax | 866-708-5505
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Authorized Official
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Title or Position | CEO
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Name | DR. ROBERT CHARLES ALLEN JR.
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Credential | MD
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Telephone | 269-673-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | MI
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