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NPI 1972550580

NPI 1972550580 : NOCH PHYSICIAN BILLING COMPANY LLC : GRAND HAVEN, MI

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General NPI Number Information
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    NPI Number           |    1972550580
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    Entity Type          |    Organization 
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    Legal Business Name  |    NOCH PHYSICIAN BILLING COMPANY LLC 
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Dates
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    Enumeration Date     |    05/28/2006
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    Last Update Date     |    10/15/2024
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Provider Practice Location Address
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    Address Line         |    1309 SHELDON RD 
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    City                 |    GRAND HAVEN
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    State                |    MI
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    Zip                  |    49417-2404
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    Country              |    US
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    Telephone            |    616-844-4528
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    Fax                  |    616-847-5608
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Provider Business Mailing Address
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    Address Line         |    PO BOX 30516 
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    City                 |    LANSING
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    State                |    MI
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    Zip                  |    48909-8016
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    Country              |    US
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    Telephone            |    616-844-4528
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    Fax                  |    616-847-5608
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Authorized Official
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    Title or Position    |    SR. VP OPERATIONS ADMINISTRATION
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    Name                 |     JOHN T FOSS 
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    Credential           |    
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    Telephone            |    231-861-3027
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal 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        |    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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