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General NPI Number Information
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NPI Number | 1225243942
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF BURT
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | E21788 COAST GUARD POINT RD
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City | GRAND MARAIS
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State | MI
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Zip | 49839-0430
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Country | US
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Telephone | 906-494-2381
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Fax | 906-494-2627
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Provider Business Mailing Address
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Address Line | PO BOX 430
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City | GRAND MARAIS
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State | MI
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Zip | 49839-0430
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Country | US
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Telephone | 906-494-2381
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Fax | 906-494-2627
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Authorized Official
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Title or Position | SUPERVISOR
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Name | MR. JOHN K HUBBARD II
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Credential | 0
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Telephone | 906-494-2381
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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 | 021002
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License Number State | MI
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