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General NPI Number Information
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NPI Number | 1689877367
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN OBSTETRICS GYNECOLOGY & INFERTILITY, PC
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 545 MICHIGAN ST NE SUITE 300
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-5720
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Country | US
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Telephone | 616-774-2400
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Fax | 616-774-8528
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Provider Business Mailing Address
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Address Line | 545 MICHIGAN ST NE SUITE 300
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-5720
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Country | US
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Telephone | 616-774-2400
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Fax | 616-774-8528
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD M HEGGEN
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Credential | MD
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Telephone | 616-774-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number |
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License Number State |
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