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General NPI Number Information
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NPI Number | 1497270391
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Entity Type | Organization
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Legal Business Name | MARQUETTE TOWNSHIP BOARD
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Dates
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Enumeration Date | 08/11/2017
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Last Update Date | 08/11/2017
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Provider Practice Location Address
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Address Line | 2801 VENTURE DR
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City | MARQUETTE
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State | MI
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Zip | 49855-8633
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Country | US
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Telephone | 906-228-4296
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Fax | 906-228-4297
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Provider Business Mailing Address
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Address Line | 1000 COMMERCE DR
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City | MARQUETTE
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State | MI
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Zip | 49855-8694
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Country | US
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Telephone | 906-228-4296
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Fax | 906-228-4297
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Authorized Official
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Title or Position | ASST CHIEF
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Name | MR. DANIEL SHANAHAN
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Credential |
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Telephone | 906-228-4296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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