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General NPI Number Information
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NPI Number | 1922451632
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Entity Type | Organization
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Legal Business Name | ADVANCED MEDICAL SERVICES, PLLC.
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 07/18/2016
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Provider Practice Location Address
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Address Line | 2525 JOLLY RD SUITE 240
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City | OKEMOS
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State | MI
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Zip | 48864-3680
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Country | US
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Telephone | 517-381-1374
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 JOLLY RD SUITE 240
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City | OKEMOS
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State | MI
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Zip | 48864-3680
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AGENT
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Name | MR. CURTIS SHAIN
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Credential |
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Telephone | 502-565-1895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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