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General NPI Number Information
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NPI Number | 1992326466
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Entity Type | Organization
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Legal Business Name | NEW HEALTHCARE PC
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 911 DIX ST STE B
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City | OTSEGO
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State | MI
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Zip | 49078-1609
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Country | US
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Telephone | 269-217-5105
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Fax |
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Provider Business Mailing Address
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Address Line | 1154 N PEACH CT
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City | PLAINWELL
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State | MI
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Zip | 49080-2013
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Country | US
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Telephone | 269-217-5105
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Fax |
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Authorized Official
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Title or Position | MANAGEMENT
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Name | CANDACE TAYLOR
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Credential |
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Telephone | 269-217-5105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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