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General NPI Number Information
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NPI Number | 1487098646
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Entity Type | Organization
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Legal Business Name | VOLUNTEERS OF AMERICA MICHIGAN
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 430 N. LARCH ST.
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City | LANSING
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State | MI
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Zip | 48912
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Country | US
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Telephone | 517-484-4414
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Fax | 517-484-5353
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Provider Business Mailing Address
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Address Line | 430 N LARCH ST
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City | LANSING
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State | MI
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Zip | 48912-1208
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Country | US
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Telephone | 517-484-4414
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Fax | 517-484-5353
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Authorized Official
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Title or Position | SENIOR MANAGER OF SOCIAL SERVICES
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Name | MRS. HEATHER LYNN NYSTROM
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Credential | LMSW
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Telephone | 248-971-4328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | MI
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