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General NPI Number Information
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NPI Number | 1164979100
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Entity Type | Organization
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Legal Business Name | YOUNG MEN'S CHRISTIAN ASSOCIATION OF STEVENS POINT, WISCONSIN AREA,INC
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Dates
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Enumeration Date | 09/07/2016
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 1000 DIVISION ST
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City | STEVENS POINT
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State | WI
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Zip | 54481-2724
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Country | US
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Telephone | 715-342-2980
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Fax | 715-342-2987
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Provider Business Mailing Address
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Address Line | 1000 DIVISION ST
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City | STEVENS POINT
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State | WI
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Zip | 54481-2724
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Country | US
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Telephone | 715-342-2980
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Fax | 715-342-2987
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/CEO
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Name | MR. DAVID MORGAN
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Credential |
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Telephone | 715-342-2980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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