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General NPI Number Information
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NPI Number | 1568467249
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Entity Type | Organization
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Legal Business Name | MICHIGAN STATE UNIVERSITY KALAMAZOO CENTER FOR MEDICAL STUDIES
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 1000 OAKLAND DR
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City | KALAMAZOO
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State | MI
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Zip | 49008-1282
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Country | US
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Telephone | 269-337-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 OAKLAND DR
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City | KALAMAZOO
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State | MI
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Zip | 49008-1282
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ELIZABETH A. BURNS
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Credential | M.D
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Telephone | 269-337-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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