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General NPI Number Information
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NPI Number | 1023362969
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Entity Type | Organization
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Legal Business Name | AVAL INC
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 1145 WESLEY AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-2100
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Country | US
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Telephone | 231-773-5355
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Fax | 231-777-3507
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Provider Business Mailing Address
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Address Line | 1145 WESLEY AVE
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City | MUSKEGON
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State | MI
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Zip | 49442-2100
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Country | US
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Telephone | 231-773-5355
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Fax | 231-777-3507
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. CHARLES GREGORY SCOTT
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Credential |
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Telephone | 231-773-5355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | MI
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