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General NPI Number Information
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NPI Number | 1508703570
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Entity Type | Organization
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Legal Business Name | DOWRIVER COMMUNITY SERVICES INC.
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 2215 COURT ST
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City | PORT HURON
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State | MI
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Zip | 48060-4937
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Country | US
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Telephone | 810-987-1311
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Fax |
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Provider Business Mailing Address
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Address Line | 555 SAINT CLAIR RIVER DR
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City | ALGONAC
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State | MI
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Zip | 48001-1802
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Country | US
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Telephone | 810-794-4917
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Fax | 810-794-4407
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | WANETA ASSAF
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Credential | CFO
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Telephone | 586-270-8055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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