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General NPI Number Information
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NPI Number | 1326005109
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Entity Type | Organization
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Legal Business Name | COUNTY OF BERRIEN MICHIGAN
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 2149 EAST NAPIER AVENUE
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City | BENTON HARBOR
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State | MI
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Zip | 49022
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Country | US
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Telephone | 269-926-7121
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Fax | 269-926-8129
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Provider Business Mailing Address
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Address Line | 2149 EAST NAPIER AVENUE
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City | BENTON HARBOR
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State | MI
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Zip | 49022
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Country | US
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Telephone | 269-926-7121
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Fax | 269-926-8149
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | GUY MILLER
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Credential |
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Telephone | 269-927-5639
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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 | 4301038022
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License Number State | MI
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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