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General NPI Number Information
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NPI Number | 1770673741
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Entity Type | Organization
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Legal Business Name | HPCN
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 6401 PRAIRIE ST SUITE 2800
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City | MUSKEGON
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State | MI
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Zip | 49444-7840
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Country | US
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Telephone | 231-724-7848
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Fax | 231-724-7850
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Provider Business Mailing Address
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Address Line | 6401 PRAIRIE ST SUITE 2800
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City | MUSKEGON
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State | MI
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Zip | 49444-7840
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Country | US
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Telephone | 231-724-7848
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Fax | 231-724-7850
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | NANCY J DOBB
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Credential |
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Telephone | 231-724-7845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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