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General NPI Number Information
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NPI Number | 1073638219
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Entity Type | Organization
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Legal Business Name | HURON COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 1142 S VAN DYKE RD
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City | BAD AXE
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State | MI
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Zip | 48413-9800
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Country | US
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Telephone | 989-269-9721
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Fax | 989-269-4181
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Provider Business Mailing Address
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Address Line | 1142 S VAN DYKE RD
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City | BAD AXE
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State | MI
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Zip | 48413-9800
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Country | US
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Telephone | 989-269-9721
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Fax | 989-269-4181
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | GRETCHEN TENBUSCH
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Credential |
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Telephone | 989-269-9721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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