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General NPI Number Information
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NPI Number | 1649682196
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Entity Type | Organization
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Legal Business Name | DOCS PLLC
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 165 N STATE AVE
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City | ALPENA
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State | MI
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Zip | 49707-2835
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Country | US
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Telephone | 517-881-6199
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Fax | 989-340-1512
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Provider Business Mailing Address
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Address Line | 165 N STATE AVE
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City | ALPENA
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State | MI
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Zip | 49707-2835
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Country | US
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Telephone | 517-881-6199
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Fax | 989-340-1512
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Authorized Official
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Title or Position | OWNER
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Name | JASON BEATTY
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Credential | DO
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Telephone | 517-881-6199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 51010187107
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License Number State | MI
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