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General NPI Number Information
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NPI Number | 1275849390
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Entity Type | Organization
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Legal Business Name | JEANNETTE ABNEY
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 4000 ALPINE AVE NW 577
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City | COMSTOCK PARK
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State | MI
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Zip | 49321-8033
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Country | US
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Telephone | 313-720-6791
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Fax |
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Provider Business Mailing Address
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Address Line | 304 S MAPLE ST SE D
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City | CALEDONIA
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State | MI
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Zip | 49316-8947
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Country | US
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Telephone | 616-536-2277
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JEANNETTE ABNEY
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Credential |
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Telephone | 616-536-2277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NW0100X
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Taxonomy Name | Women's Hospital
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number |
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License Number State |
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