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General NPI Number Information
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NPI Number | 1184817231
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Entity Type | Organization
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Legal Business Name | NYFRIES, INC
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 1125 W RIDGE ST
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City | MARQUETTE
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State | MI
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Zip | 49855
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Country | US
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Telephone | 906-225-4545
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Fax | 906-225-7543
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Provider Business Mailing Address
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Address Line | 1125 W RIDGE ST
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City | MARQUETTE
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State | MI
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Zip | 49855-3191
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Country | US
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Telephone | 906-225-4545
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Fax | 906-225-7573
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/CEO
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Name | MRS. CYNTHIA NYQUIST
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Credential | RN,MSN,CHPN
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Telephone | 906-225-4545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 523515
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License Number State | MI
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