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General NPI Number Information
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NPI Number | 1467443978
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF COVERT
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Dates
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Enumeration Date | 11/03/2005
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 33805 M-140 HWY
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City | COVERT
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State | MI
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Zip | 49043
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Country | US
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Telephone | 269-764-1768
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Fax | 269-764-1771
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Provider Business Mailing Address
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Address Line | PO BOX 35
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City | COVERT
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State | MI
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Zip | 49043-0035
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Country | US
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Telephone | 269-764-8986
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Fax | 269-764-1771
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LAURA D FOGARTY
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Credential |
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Telephone | 269-764-5138
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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 | 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 | 801002
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License Number State | MI
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