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General NPI Number Information
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NPI Number | 1497078307
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Entity Type | Organization
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Legal Business Name | BRANCH-ST JOSEPH AREA AGENCY ON AGING
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Dates
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Enumeration Date | 03/05/2010
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 570 MARSHALL RD
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City | COLDWATER
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State | MI
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Zip | 49036-8262
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Country | US
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Telephone | 517-278-2538
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Fax | 517-278-2494
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Provider Business Mailing Address
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Address Line | 570 MARSHALL RD
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City | COLDWATER
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State | MI
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Zip | 49036-8262
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Country | US
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Telephone | 517-278-2538
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Fax | 517-278-2494
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DONNA COWDEN
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Credential |
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Telephone | 517-279-9561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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