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General NPI Number Information
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NPI Number | 1194853580
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF POWELL
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 101 BENSINGER RD
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City | BIG BAY
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State | MI
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Zip | 49808
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Country | US
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Telephone | 906-361-0598
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 415
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City | ESCANABA
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State | MI
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Zip | 49829-0415
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Country | US
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Telephone | 906-786-2051
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KIMBERLY BOURGEOIS
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Credential |
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Telephone | 906-362-7275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 521004
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License Number State | MI
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