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General NPI Number Information
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NPI Number | 1518416569
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Entity Type | Organization
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Legal Business Name | THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF MONROE, MICHIGAN
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Dates
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Enumeration Date | 09/30/2016
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 1111 W ELM AVE
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City | MONROE
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State | MI
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Zip | 48162-2885
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Country | US
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Telephone | 734-241-2606
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Fax | 734-241-5062
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Provider Business Mailing Address
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Address Line | 1111 W ELM AVE
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City | MONROE
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State | MI
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Zip | 48162-2885
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Country | US
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Telephone | 734-241-2606
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Fax | 734-241-5062
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Authorized Official
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Title or Position | CEO
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Name | KRISTIN IRWIN
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Credential |
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Telephone | 734-241-2606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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