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General NPI Number Information
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NPI Number | 1790850816
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Entity Type | Individual
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Provider Name | JON S FOLTZ MD
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Gender | Male
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 825 N CENTER AVE
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City | GAYLORD
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State | MI
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Zip | 49735-1592
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Country | US
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Telephone | 989-731-2140
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Fax | 989-731-2205
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Provider Business Mailing Address
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Address Line | 1007 HULL ST
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City | BOYNE CITY
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State | MI
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Zip | 49712-9773
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Country | US
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Telephone | 231-632-4450
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 4301060149
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License Number State | MI
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