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General NPI Number Information
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NPI Number | 1801121611
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Entity Type | Organization
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Legal Business Name | CENTER FOR HEALTH AND WELLNESS OF STURGIS PC
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 1904 E CHICAGO RD
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City | STURGIS
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State | MI
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Zip | 49091-8522
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Country | US
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Telephone | 269-659-8474
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Fax | 269-651-8790
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Provider Business Mailing Address
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Address Line | 1904 E CHICAGO RD
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City | STURGIS
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State | MI
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Zip | 49091-8522
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Country | US
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Telephone | 269-659-8474
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Fax | 269-651-8790
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | HEATHER SWETT
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Credential |
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Telephone | 269-659-8474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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