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General NPI Number Information
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NPI Number | 1104901248
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD OF WEST & NORTHERN MI
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 209 E APPLE AVE MUSKEGON PUBLIC HEALTH BUILDING
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City | MUSKEGON
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State | MI
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Zip | 49442
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Country | US
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Telephone | 231-724-4415
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 PECK ST
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City | MUSKEGON
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State | MI
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Zip | 49441-2121
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Country | US
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Telephone | 231-722-2928
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Fax | 231-722-4314
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Authorized Official
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Title or Position | COO
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Name | DIANE BRADY
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Credential |
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Telephone | 616-774-7005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number |
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License Number State |
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