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General NPI Number Information
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NPI Number | 1003318353
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Entity Type | Organization
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Legal Business Name | DOWNTOWN COUNSELING AND ASSESSMENTS
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 100 S JEFFERSON AVE STE 104
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City | SAGINAW
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State | MI
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Zip | 48607-1267
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Country | US
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Telephone | 989-752-6319
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Fax | 989-752-0895
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Provider Business Mailing Address
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Address Line | 100 S JEFFERSON AVE STE 104
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City | SAGINAW
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State | MI
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Zip | 48607-1267
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Country | US
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Telephone | 989-752-6319
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Fax | 989-752-0895
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANK CONIC III
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Credential | PH.D.
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Telephone | 989-245-4131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6401003666
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License Number State | MI
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