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General NPI Number Information
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NPI Number | 1225354293
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Entity Type | Organization
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Legal Business Name | DISABILITY CONNECTION
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Dates
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Enumeration Date | 04/15/2010
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 1871 PECK ST MUSKEGON
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City | MUSKEGON
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State | MI
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Zip | 49441-2534
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Country | US
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Telephone | 231-722-0088
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Fax | 231-722-0066
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Provider Business Mailing Address
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Address Line | 1871 PECK ST MUSKEGON
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City | MUSKEGON
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State | MI
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Zip | 49441-2534
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Country | US
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Telephone | 231-722-0088
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Fax | 231-722-0066
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. SUSAN CLOUTIER-MYERS
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Credential |
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Telephone | 231-722-0088
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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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