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General NPI Number Information
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NPI Number | 1215271036
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Entity Type | Organization
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Legal Business Name | BARRY-EATON DISTRICT HEALTH
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Dates
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Enumeration Date | 11/16/2012
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 1033 HEALTHCARE DR
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City | CHARLOTTE
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State | MI
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Zip | 48813-1058
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Country | US
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Telephone | 517-543-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 1033 HEALTHCARE DR
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City | CHARLOTTE
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State | MI
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Zip | 48813-1058
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Country | US
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Telephone | 517-543-2580
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Fax |
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | COLETTE SCRIMGER
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Credential |
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Telephone | 517-543-2580
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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 | 6801094003
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License Number State | MI
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