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General NPI Number Information
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NPI Number | 1730213216
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST MEDICINE PLLC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 101 JENSON ST
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City | GAYLORD
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State | MI
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Zip | 49735-1593
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Country | US
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Telephone | 989-732-4422
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Fax | 989-732-4402
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Provider Business Mailing Address
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Address Line | 101 JENSON ST
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City | GAYLORD
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State | MI
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Zip | 49735-1593
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Country | US
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Telephone | 989-732-4422
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Fax | 989-732-4402
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. RICHARD D. ASHLEY
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Credential |
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Telephone | 989-732-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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