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General NPI Number Information
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NPI Number | 1982792040
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Entity Type | Individual
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Provider Name | ALLAN D NELSON MD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 02/24/2021
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Provider Practice Location Address
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Address Line | 500 N HANCOCK
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City | PENTWATER
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State | MI
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Zip | 49449
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Country | US
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Telephone | 231-869-7051
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Fax | 231-869-5536
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Provider Business Mailing Address
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Address Line | 500 N HANCOCK PO BOX 619
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City | PENTWATER
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State | MI
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Zip | 49449
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Country | US
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Telephone | 231-869-7051
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Fax | 231-869-5536
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 036682
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License Number State | MI
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