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General NPI Number Information
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NPI Number | 1679012454
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Entity Type | Organization
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Legal Business Name | HOME, HEALTH & BODY
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 2030 HASLETT RD
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City | WILLIAMSTON
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State | MI
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Zip | 48895-9624
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Country | US
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Telephone | 517-294-7793
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Fax | 517-676-5488
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Provider Business Mailing Address
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Address Line | 392 FIELDS RD
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City | DANSVILLE
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State | MI
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Zip | 48819-9792
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Country | US
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Telephone | 517-294-7793
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Fax | 517-676-5488
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Authorized Official
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Title or Position | OWNER
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Name | ROXANNE NORTON
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Credential |
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Telephone | 517-294-7793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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