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General NPI Number Information
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NPI Number | 1053699363
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Entity Type | Organization
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Legal Business Name | YOUNG ADULTS' HEALTH CENTER, INC.
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Dates
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Enumeration Date | 08/03/2011
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 47 N HURON ST
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City | YPSILANTI
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State | MI
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Zip | 48197-2607
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Country | US
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Telephone | 734-484-3600
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Fax | 734-484-3100
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Provider Business Mailing Address
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Address Line | 47 N HURON ST
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City | YPSILANTI
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State | MI
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Zip | 48197-2607
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Country | US
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Telephone | 734-484-3600
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Fax | 734-484-3100
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Authorized Official
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Title or Position | CLINIC BUSINESS MANAGER
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Name | CHRISTINE DOYLE
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Credential |
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Telephone | 734-484-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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