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General NPI Number Information
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NPI Number | 1225026057
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Entity Type | Organization
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Legal Business Name | COUNTY OF MONROE
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 2353 S CUSTER RD
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City | MONROE
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State | MI
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Zip | 48161-5047
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Country | US
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Telephone | 734-240-7800
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Fax | 734-240-7815
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Provider Business Mailing Address
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Address Line | 2353 S CUSTER RD
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City | MONROE
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State | MI
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Zip | 48161-5047
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Country | US
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Telephone | 734-240-7800
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Fax | 734-240-7815
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | DR. REBECCA HEAD
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Credential |
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Telephone | 734-240-7804
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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 |
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