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General NPI Number Information
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NPI Number | 1093509366
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Entity Type | Organization
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Legal Business Name | PURPOSEFUL CONSULTANTS LLC
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 344 W ALLEGAN ST STE B
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City | OTSEGO
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State | MI
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Zip | 49078-1086
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Country | US
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Telephone | 269-993-1362
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Fax |
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Provider Business Mailing Address
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Address Line | 2206 N WESTNEDGE AVE
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City | KALAMAZOO
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State | MI
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Zip | 49007-1790
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Country | US
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Telephone | 269-993-1362
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Fax | 269-993-1362
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Authorized Official
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Title or Position | CEO/CLINICAL DIRECTOR
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Name | ANTWAIN ALLEN
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Credential |
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Telephone | 269-993-1362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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