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General NPI Number Information
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NPI Number | 1124960125
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Entity Type | Organization
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Legal Business Name | WAYGFT
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 2576 E BROOKS RD
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City | FREELAND
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State | MI
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Zip | 48623-9431
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Country | US
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Telephone | 989-284-6197
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Fax |
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Provider Business Mailing Address
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Address Line | 3770 S ISABELLA RD APT 207
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City | MT PLEASANT
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State | MI
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Zip | 48858-7413
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Country | US
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Telephone | 989-284-6197
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Fax |
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | KRISTEN MARKES
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Credential |
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Telephone | 989-284-6197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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