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General NPI Number Information
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NPI Number | 1679650568
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE SPECIALISTS OF HOWELL, PLLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 820 BYRON RD SUITE 200
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City | HOWELL
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State | MI
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Zip | 48843-1098
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Country | US
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Telephone | 517-548-1246
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Fax | 517-548-9164
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Provider Business Mailing Address
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Address Line | 820 BYRON RD SUITE 200
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City | HOWELL
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State | MI
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Zip | 48843-1098
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Country | US
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Telephone | 517-546-1246
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Fax | 517-548-9164
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM A BUSH
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Credential | D.O.
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Telephone | 517-548-1246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | WB007205
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License Number State | MI
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