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General NPI Number Information
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NPI Number | 1639259237
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Entity Type | Individual
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Provider Name | THOMAS BRUCE DE KORTE DPM
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 1404 BRIDGE ST
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City | CHARLEVOIX
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State | MI
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Zip | 49720-2603
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Country | US
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Telephone | 231-547-4662
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Fax | 231-547-3068
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Provider Business Mailing Address
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Address Line | PO BOX 103 1404 BRIDGE STREET
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City | CHARLEVOIX
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State | MI
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Zip | 49720-0103
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Country | US
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Telephone | 231-547-4662
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Fax | 231-547-3068
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | TD001078
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License Number State | MI
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