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General NPI Number Information
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NPI Number | 1164834909
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Entity Type | Organization
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Legal Business Name | CALHOUN COUNTY GUARDIAN DBA GUARDIAN FINANCE AND ADVOCACY SERVICES
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 18 MICHIGAN AVE W STE 300
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3611
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Country | US
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Telephone | 269-963-3253
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Fax |
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Provider Business Mailing Address
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Address Line | 18 MICHIGAN AVE W STE 300
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3611
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Country | US
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Telephone | 269-963-3253
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Fax |
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Authorized Official
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Title or Position | GUARDIAN SPECIALIST/GUARDIAN TRIAGE
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Name | MR. ANTHONY PUMPHREY
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Credential |
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Telephone | 269-788-1687
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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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