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General NPI Number Information
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NPI Number | 1639102445
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Entity Type | Organization
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Legal Business Name | F. THOMAS DAY, M.D., PLLC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12162 COUNTRY CLUB DR
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City | CHARLEVOIX
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State | MI
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Zip | 49720-2086
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Country | US
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Telephone | 231-547-1255
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Fax |
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Provider Business Mailing Address
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Address Line | 12162 COUNTRY CLUB DR
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City | CHARLEVOIX
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State | MI
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Zip | 49720-2086
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Country | US
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Telephone | 231-547-1255
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | F. THOMAS DAY
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Credential | M.D.
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Telephone | 231-547-1255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301043812
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License Number State | MI
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