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General NPI Number Information
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NPI Number | 1992844765
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Entity Type | Organization
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Legal Business Name | MICHIGAN HEALTH CHOICES P C
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 115 W ALLEGAN ST
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City | OTSEGO
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State | MI
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Zip | 49078-1143
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Country | US
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Telephone | 269-694-4825
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Fax | 269-694-5128
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Provider Business Mailing Address
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Address Line | PO BOX 2565
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City | PORTAGE
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State | MI
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Zip | 49081-2565
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Country | US
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Telephone | 269-373-8878
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Fax | 269-373-4720
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Authorized Official
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Title or Position | OWNER
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Name | DR. RONALD C ZAPF
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Credential | DR
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Telephone | 269-694-4825
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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 | 4301050991
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License Number State | MI
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