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General NPI Number Information
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NPI Number | 1689692428
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Entity Type | Organization
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Legal Business Name | THE FURNITURE DOCTOR
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 6282 E HOWARD CITY EDMORE RD
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City | VESTABURG
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State | MI
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Zip | 48891-9424
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Country | US
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Telephone | 989-427-5646
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Fax | 989-427-5053
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Provider Business Mailing Address
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Address Line | PO BOX 123
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City | CEDAR LAKE
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State | MI
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Zip | 48812-0123
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Country | US
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Telephone | 989-427-5646
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Fax | 989-427-5053
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | MR. DOUGLAS C GRUESBECK
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Credential |
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Telephone | 989-427-5646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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