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General NPI Number Information
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NPI Number | 1932420130
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Entity Type | Organization
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Legal Business Name | WOMENS MEDICAL SERVICES OF MUSKEGON P C
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Dates
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Enumeration Date | 06/22/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 863 E APPLE AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-3737
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Country | US
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Telephone | 231-773-7666
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Fax |
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Provider Business Mailing Address
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Address Line | 863 E APPLE AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-3737
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Country | US
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Telephone | 231-773-7666
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT L ALEXANDER
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Credential | M.D.
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Telephone | 231-773-7666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301044385
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License Number State | MI
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