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General NPI Number Information
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NPI Number | 1760548994
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Entity Type | Organization
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Legal Business Name | THE DOCTORS GROUP P C
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Dates
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Enumeration Date | 12/30/2006
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 842 COLUMBIA AVE E SUITE 3
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City | BATTLE CREEK
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State | MI
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Zip | 49015-4449
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Country | US
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Telephone | 269-565-0403
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Fax |
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Provider Business Mailing Address
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Address Line | 842 COLUMBIA AVE E SUITE 3
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City | BATTLE CREEK
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State | MI
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Zip | 49015-4449
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Country | US
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Telephone | 269-565-0403
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. SHERRY L HEAGNEY
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Credential |
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Telephone | 296-565-0403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | MI
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