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General NPI Number Information
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NPI Number | 1679688808
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Entity Type | Individual
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Provider Name | ARTHUR JAMES POTTER JR. MD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 1450 FARR RD SUITE 5000
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City | NORTON SHORES
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State | MI
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Zip | 49444-9738
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Country | US
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Telephone | 231-739-9095
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Fax | 231-722-5147
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Provider Business Mailing Address
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Address Line | 1450 FARR RD SUITE 5000
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City | NORTON SHORES
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State | MI
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Zip | 49444-9738
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Country | US
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Telephone | 231-739-9095
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Fax | 231-722-5147
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | AP050009
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License Number State | MI
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