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NPI 1417930413

NPI 1417930413 : JOHN F. TURNER JR. MLSW : FLINT, MI

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General NPI Number Information
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    NPI Number           |    1417930413
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN F. TURNER JR. MLSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/22/2005
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    4001 N SAGINAW ST 
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    City                 |    FLINT
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    State                |    MI
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    Zip                  |    48505-3994
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    Country              |    US
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    Telephone            |    810-787-5109
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    Fax                  |    810-789-9222
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Provider Business Mailing Address
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    Address Line         |    5489 N SYCAMORE ST 
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    City                 |    BURTON
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    State                |    MI
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    Zip                  |    48509-1350
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    Country              |    US
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    Telephone            |    810-743-9942
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    6801046702
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    License Number State |    MI
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