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General NPI Number Information
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NPI Number | 1972170207
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Entity Type | Organization
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Legal Business Name | ACCESS FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 1001 M 28 E STE 10
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City | MARQUETTE
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State | MI
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Zip | 49855-9322
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Country | US
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Telephone | 248-387-9159
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Fax | 906-208-4072
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Provider Business Mailing Address
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Address Line | 35 OAK HILL DR
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City | MARQUETTE
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State | MI
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Zip | 49855-9446
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Country | US
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Telephone | 906-273-2433
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Fax | 906-208-4072
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Authorized Official
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Title or Position | CEO
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Name | DR. CHELSEA ELISE RAY
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Credential | MD
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Telephone | 906-373-9496
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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 |
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License Number State |
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