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General NPI Number Information
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NPI Number | 1821013103
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Entity Type | Individual
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Provider Name | DARRYL R. STEVENS DO
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 E SHERMAN BLVD MERCY GENERAL HEALTH PARTNERS - RADIOLOGY DEPT.
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City | MUSKEGON
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State | MI
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Zip | 49444-1849
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Country | US
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Telephone | 231-739-9341
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Fax |
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Provider Business Mailing Address
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Address Line | 950 TAYLOR AVE STE 140 LAKESHORE IMAGING CONSULTANTS, PLC
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City | GRAND HAVEN
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State | MI
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Zip | 49417-2281
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Country | US
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Telephone | 231-725-8119
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Fax | 616-846-1222
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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