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General NPI Number Information
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NPI Number | 1174634315
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Entity Type | Organization
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Legal Business Name | SEGUE INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 212 E. BIDDLE STREET
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City | JACKSON
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State | MI
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Zip | 49203
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Country | US
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Telephone | 517-784-6729
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Fax | 517-745-4841
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Provider Business Mailing Address
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Address Line | PO BOX 6159
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City | JACKSON
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State | MI
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Zip | 49204-6159
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Country | US
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Telephone | 517-784-6729
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Fax | 517-784-7546
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Authorized Official
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Title or Position | CEO
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Name | DIANE M REYNOLDS
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Credential |
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Telephone | 517-784-6729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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