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General NPI Number Information
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NPI Number | 1306875307
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Entity Type | Organization
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Legal Business Name | OCEANA COUNTY CLERK
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 3966 N OCEANA DR
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City | HART
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State | MI
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Zip | 49420-8358
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Country | US
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Telephone | 231-873-4835
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Fax |
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Provider Business Mailing Address
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Address Line | 3966 N OCEANA DR
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City | HART
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State | MI
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Zip | 49420-8358
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Country | US
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Telephone | 231-873-8241
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Fax |
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | LANCE COREY
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Credential |
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Telephone | 231-873-8241
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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 | 641001
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License Number State | MI
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