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General NPI Number Information
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NPI Number | 1013088079
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Entity Type | Organization
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Legal Business Name | COUNTY OF LAPEER
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 12/15/2010
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Provider Practice Location Address
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Address Line | 1800 IMLAY CITY RD
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City | LAPEER
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State | MI
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Zip | 48446-3208
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Country | US
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Telephone | 810-245-5711
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Fax | 810-245-4525
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Provider Business Mailing Address
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Address Line | 1800 IMLAY CITY RD
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City | LAPEER
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State | MI
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Zip | 48446-3208
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Country | US
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Telephone | 810-245-5711
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Fax | 810-245-4525
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Authorized Official
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Title or Position | DIRECTOR HEALTH OFFICER
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Name | MS. STEPHANIE SIMMONS
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Credential | BSN, MPA
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Telephone | 810-245-5581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 23D0650909
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License Number State | MI
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