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General NPI Number Information
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NPI Number | 1619981891
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Entity Type | Organization
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Legal Business Name | NEW DAY FAMILY MEDICINE & MEDICAL SPA, P.C.
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 3600 CAPITAL AVE SW SUITE 201
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City | BATTLE CREEK
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State | MI
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Zip | 49015-9393
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Country | US
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Telephone | 269-979-5100
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Fax | 269-979-5480
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Provider Business Mailing Address
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Address Line | 3600 CAPITAL AVE SW SUITE 201
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City | BATTLE CREEK
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State | MI
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Zip | 49015-9393
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Country | US
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Telephone | 269-979-5100
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Fax | 269-979-5480
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY PLOEHN
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Credential | MD
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Telephone | 269-979-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 4301059704
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License Number State | MI
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