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General NPI Number Information
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NPI Number | 1447428313
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Entity Type | Organization
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Legal Business Name | NORTHEAST INGHAM EMERGENCY SERVICES AUTHORITY
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 08/10/2024
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Provider Practice Location Address
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Address Line | 1296 W GRAND RIVER AVE
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City | WILLIAMSTON
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State | MI
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Zip | 48895-9771
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Country | US
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Telephone | 517-655-1383
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Fax | 517-655-9384
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Provider Business Mailing Address
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Address Line | 1296 W GRAND RIVER AVE
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City | WILLIAMSTON
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State | MI
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Zip | 48895-9771
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Country | US
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Telephone | 517-655-1383
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Fax | 517-655-3384
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Authorized Official
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Title or Position | DIRECTOR/FIRE CHIEF
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Name | MICHAEL J YANZ
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Credential |
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Telephone | 517-655-3384
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 331009
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License Number State | MI
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