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General NPI Number Information
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NPI Number | 1730403296
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Entity Type | Organization
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Legal Business Name | DOUGLAS A. FURMAN MD PC
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 03/26/2010
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Provider Practice Location Address
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Address Line | 7037 WEST M-68 HWY
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City | INDIAN RIVER
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State | MI
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Zip | 49749-0607
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Country | US
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Telephone | 231-238-9386
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Fax | 231-238-6895
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Provider Business Mailing Address
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Address Line | 7037 WEST M-68 HWY
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City | INDIAN RIVER
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State | MI
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Zip | 49749
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Country | US
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Telephone | 231-238-9386
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Fax | 231-238-6895
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOUGLAS A. FURMAN
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Credential | M.D.
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Telephone | 231-238-9386
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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 | 4301033946
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License Number State | MI
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