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General NPI Number Information
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NPI Number | 1043596422
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Entity Type | Organization
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Legal Business Name | NORTHERN SPRINGS MANAGEMENT CO
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Dates
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Enumeration Date | 10/29/2011
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Last Update Date | 10/29/2011
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Provider Practice Location Address
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Address Line | 6662 E 26 1/4 RD
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City | CADILLAC
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State | MI
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Zip | 49601-8169
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Country | US
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Telephone | 231-675-1348
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Fax | 231-468-2171
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Provider Business Mailing Address
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Address Line | 6662 E 26 1/4 RD
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City | CADILLAC
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State | MI
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Zip | 49601-8169
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Country | US
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Telephone | 231-675-1348
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Fax | 231-468-2171
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Authorized Official
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Title or Position | CEO
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Name | AMELIA BUCKMEIER
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Credential |
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Telephone | 231-838-1251
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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 | AL400294299
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | AM400282377
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | AM150282503
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License Number State | MI
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