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NPI 1811941206

NPI 1811941206 : JACKALYN M GOVIER DO : BATTLE CREEK, MI

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General NPI Number Information
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    NPI Number           |    1811941206
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    Entity Type          |    Individual 
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    Provider Name        |    JACKALYN M GOVIER DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/20/2006
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    5500 ARMSTRONG RD 
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    City                 |    BATTLE CREEK
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    State                |    MI
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    Zip                  |    49037-7314
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    Country              |    US
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    Telephone            |    269-966-5600
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    Fax                  |    269-223-6501
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Provider Business Mailing Address
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    Address Line         |    5500 ARMSTRONG RD 
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    City                 |    BATTLE CREEK
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    State                |    MI
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    Zip                  |    49037-7314
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    Country              |    US
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    Telephone            |    269-966-5600
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    Fax                  |    269-223-6501
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    5101016141
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    License Number State |    MI
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