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General NPI Number Information
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NPI Number | 1376085514
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Entity Type | Organization
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Legal Business Name | YOUNG MEN'S CHRISTIAN ASSOCIATION OF CASS COUNTY, INC.
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 905 E BROADWAY
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City | LOGANSPORT
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State | IN
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Zip | 46947-3163
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Country | US
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Telephone | 574-753-5141
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Fax | 574-735-2905
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Provider Business Mailing Address
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Address Line | 905 E BROADWAY
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City | LOGANSPORT
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State | IN
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Zip | 46947-3163
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Country | US
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Telephone | 574-753-5141
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Fax | 574-735-2905
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Authorized Official
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Title or Position | CEO
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Name | DERRECK PARKEVICH
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Credential |
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Telephone | 574-753-5141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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