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General NPI Number Information
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NPI Number | 1730361916
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Entity Type | Organization
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Legal Business Name | DR. DEBRA J. KURTZ PLLC
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 3537 W FRONT ST SUITE F
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-7941
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Country | US
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Telephone | 231-935-8920
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Fax | 231-935-3043
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Provider Business Mailing Address
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Address Line | 3537 W FRONT ST SUITE F
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-7941
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Country | US
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Telephone | 231-935-8920
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Fax | 231-935-3043
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Authorized Official
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Title or Position | OWNER
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Name | DR. DRBRA J KURTZ
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Credential | MD
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Telephone | 231-935-8920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 4301051369
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License Number State | MI
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