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General NPI Number Information
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NPI Number | 1184627135
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Entity Type | Organization
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Legal Business Name | ALLEGAN COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3255 122ND AVE STE 200
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City | ALLEGAN
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State | MI
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Zip | 49010-9511
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Country | US
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Telephone | 269-267-5411
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Fax | 269-673-4172
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Provider Business Mailing Address
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Address Line | 3255 122ND AVE STE 200
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City | ALLEGAN
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State | MI
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Zip | 49010-9511
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Country | US
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Telephone | 269-267-5411
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Fax | 269-673-4172
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RICHARD M TOOKER
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Credential | M.D.
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Telephone | 269-673-5411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | MI
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