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General NPI Number Information
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NPI Number | 1285745893
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD OF WEST & NORTHERN MICHIGAN, INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 1325 S MISSION ST
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City | MT PLEASANT
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State | MI
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Zip | 48858-4207
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Country | US
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Telephone | 989-773-5602
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Fax | 989-775-3305
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Provider Business Mailing Address
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Address Line | 425 CHERRY ST SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49503
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Country | US
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Telephone | 616-774-7005
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Fax | 616-774-0516
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | DEB LANTINGA
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Credential |
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Telephone | 616-774-7005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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