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General NPI Number Information
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NPI Number | 1669672549
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Entity Type | Organization
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Legal Business Name | DR DANIEL G REUM DO PC
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 5 N ATKINSON DR SUITE 205
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City | LUDINGTON
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State | MI
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Zip | 49431-2918
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Country | US
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Telephone | 231-845-5069
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Fax | 231-845-1332
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Provider Business Mailing Address
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Address Line | 5 N ATKINSON DR SUITE 205
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City | LUDINGTON
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State | MI
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Zip | 49431-2918
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Country | US
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Telephone | 231-845-5069
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Fax | 231-845-1332
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. LINDA KORB
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Credential |
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Telephone | 231-845-5069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 5101008973
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License Number State | MI
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