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NPI 1386688497

NPI 1386688497 : TOWNSHIP OF LEELANAU : NORTHPORT, MI

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General NPI Number Information
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    NPI Number           |    1386688497
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOWNSHIP OF LEELANAU 
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Dates
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    Enumeration Date     |    06/16/2006
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    Last Update Date     |    11/18/2024
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Provider Practice Location Address
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    Address Line         |    100 W 8TH ST 
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    City                 |    NORTHPORT
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    State                |    MI
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    Zip                  |    49670-9814
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    Country              |    US
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    Telephone            |    231-386-9073
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    Fax                  |    231-386-5212
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Provider Business Mailing Address
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    Address Line         |    100 W 8TH ST 
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    City                 |    NORTHPORT
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    State                |    MI
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    Zip                  |    49670-9814
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    Country              |    US
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    Telephone            |    231-386-5138
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CAPTAIN
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    Name                 |     STEPHEN  WATSON 
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    Credential           |    
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    Telephone            |    231-386-9073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    341600000X
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    Taxonomy Name        |    Ambulance
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    License Number       |    451003
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    
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    License Number State |    
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