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General NPI Number Information
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NPI Number | 1912098047
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Entity Type | Organization
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Legal Business Name | ALPENA ORTHOPAEDIC ASSOCIATES PLLC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 401 LONG RAPIDS PLAZA
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City | ALPENA
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State | MI
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Zip | 49707-1394
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Country | US
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Telephone | 989-356-9333
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Fax | 989-356-0804
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Provider Business Mailing Address
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Address Line | 401 LONG RAPIDS PLAZA
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City | ALPENA
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State | MI
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Zip | 49707-1394
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Country | US
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Telephone | 989-356-9333
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Fax | 989-356-0804
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Authorized Official
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Title or Position | PARTNER
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Name | DR. ERIC R CORNISH
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Credential | M.D.
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Telephone | 989-356-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | EC047605
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License Number State | MI
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Taxonomy #2
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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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