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General NPI Number Information
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NPI Number | 1013086313
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Entity Type | Organization
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Legal Business Name | DISTRICT HEALTH DEPARTMENT NO 2
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 630 PROGRESS ST
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City | WEST BRANCH
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State | MI
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Zip | 48661-8603
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Country | US
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Telephone | 989-343-1808
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Fax | 989-343-1897
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Provider Business Mailing Address
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Address Line | 630 PROGRESS ST
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City | WEST BRANCH
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State | MI
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Zip | 48661-8603
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Country | US
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Telephone | 989-343-1808
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Fax | 989-343-1897
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Authorized Official
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Title or Position | HOME HEALTH SERVICES DIRECTOR
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Name | MR. MAX C TOBIN
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Credential | RN
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Telephone | 989-343-1808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 658610
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License Number State | MI
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