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General NPI Number Information
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NPI Number | 1194924357
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Entity Type | Organization
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Legal Business Name | HISPANIC AMERICAN COUNCIL
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 930 LAKE ST
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City | KALAMAZOO
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State | MI
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Zip | 49001-3023
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Country | US
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Telephone | 269-385-6279
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Fax | 269-385-2803
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Provider Business Mailing Address
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Address Line | 930 LAKE ST
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City | KALAMAZOO
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State | MI
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Zip | 49001-3023
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Country | US
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Telephone | 269-385-6279
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Fax | 269-385-2803
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Authorized Official
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Title or Position | HAC BOARD PRESIDENT
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Name | MS. DIANA HERNANDEZ
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Credential | M.A.
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Telephone | 269-387-3327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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