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General NPI Number Information
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NPI Number | 1831543099
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Entity Type | Organization
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Legal Business Name | VALLEY MEDICAL CENTER
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 04/14/2016
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Provider Practice Location Address
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Address Line | 5142 MILLER RD
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City | FLINT
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State | MI
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Zip | 48507-1042
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Country | US
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Telephone | 810-733-2691
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Fax | 810-720-4777
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Provider Business Mailing Address
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Address Line | 5142 MILLER RD
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City | FLINT
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State | MI
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Zip | 48507-1042
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Country | US
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Telephone | 810-733-3660
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Fax | 810-720-4777
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MICHAEL OWCZARZAK
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Credential | MD
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Telephone | 810-733-2691
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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 | 4301068046
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License Number State | MI
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