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General NPI Number Information
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NPI Number | 1780816199
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Entity Type | Organization
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Legal Business Name | HIS HEALING HANDS URGENT CARE CENTER INC
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 10/02/2009
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Provider Practice Location Address
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Address Line | 2025 W HOLMES RD
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City | LANSING
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State | MI
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Zip | 48910-0376
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Country | US
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Telephone | 517-347-8231
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Fax |
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Provider Business Mailing Address
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Address Line | 3940 BRECKINRIDGE DR
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City | OKEMOS
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State | MI
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Zip | 48864-3829
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Country | US
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Telephone | 517-347-8231
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Fax | 810-245-6676
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELEANOR R. KUE
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Credential | M.D.
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Telephone | 517-347-8231
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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 | 4301073064
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License Number State | MI
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