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NPI Code Detail

MEDICARE: JOANE MARY TAGLIAMONTE

MEDICARE: JOANE MARY TAGLIAMONTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2101Y00000XCounselor6401013918MI

General Provider Information

NPI Number : 1659704575
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANE MARY TAGLIAMONTE
Provider Business Mailing Address
First Line : 1035 W WASHINGTON AVE
Second Line :
City : ALPENA
State : MI
Zip : 49707-2929
Country : US
Telephone Number : 989-736-9815
Fax Number :
Provider Business Practice Location Address
First Line : 208 S STATE ST
Second Line :
City : OSCODA
State : MI
Zip : 48750-1642
Country : US
Telephone Number : 989-739-2550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2013
Last Update Date : 05/09/2022

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Directions to “ JOANE MARY TAGLIAMONTE ” Practice Location

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