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General NPI Number Information
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NPI Number | 1558568204
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Entity Type | Organization
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Legal Business Name | KNOLLCRESTOB-GYN ASSOCIATES, P.C.
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3300 BURTON ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-4398
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Country | US
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Telephone | 616-942-1300
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Fax | 616-942-7362
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Provider Business Mailing Address
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Address Line | 3300 BURTON ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-4398
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Country | US
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Telephone | 616-942-1300
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Fax | 616-942-7362
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CURTIS J FINNEY
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Credential | M.D.
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Telephone | 616-942-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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