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General NPI Number Information
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NPI Number | 1275605594
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Entity Type | Organization
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Legal Business Name | BRANCH HILLSDALE ST JOSEPH COMMUNITY HEALTH AGENCY
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 570 MARSHALL RD
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City | COLDWATER
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State | MI
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Zip | 49036-8262
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Country | US
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Telephone | 517-279-9561
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Fax | 517-278-2923
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Provider Business Mailing Address
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Address Line | 570 MARSHALL RD
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City | COLDWATER
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State | MI
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Zip | 49036-8262
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Country | US
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Telephone | 517-279-9561
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Fax | 517-278-2923
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | MRS. REBECCA BURNS
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Credential |
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Telephone | 571-279-9561
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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 | 2083P0901X
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License Number State | MI
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