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NPI 1871750505

NPI 1871750505 : NATURAL HEALTH IMPROVEMENT CENTER PC : GRANDVILLE, MI

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General NPI Number Information
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    NPI Number           |    1871750505
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    Entity Type          |    Organization 
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    Legal Business Name  |    NATURAL HEALTH IMPROVEMENT CENTER PC 
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Dates
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    Enumeration Date     |    05/20/2008
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    Last Update Date     |    05/20/2008
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Provider Practice Location Address
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    Address Line         |    4466 HERITAGE CT SW SUITE D
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    City                 |    GRANDVILLE
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    State                |    MI
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    Zip                  |    49418-2383
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    Country              |    US
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    Telephone            |    616-301-0808
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    Fax                  |    616-301-7887
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Provider Business Mailing Address
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    Address Line         |    4466 HERITAGE CT SW SUITE D
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    City                 |    GRANDVILLE
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    State                |    MI
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    Zip                  |    49418-2383
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    Country              |    US
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    Telephone            |    616-301-0808
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    Fax                  |    616-301-7887
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ANN M AUBURN 
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    Credential           |    D.O.
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    Telephone            |    616-301-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    5101011643
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    License Number State |    MI
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