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General NPI Number Information
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NPI Number | 1548495989
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Entity Type | Organization
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Legal Business Name | CITY OF SOUTHGATE
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 05/28/2009
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Provider Practice Location Address
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Address Line | 14400 DIX TOLEDO RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-2581
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Country | US
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Telephone | 734-258-3080
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Fax |
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Provider Business Mailing Address
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Address Line | 14400 DIX TOLEDO RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-2581
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Country | US
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Telephone | 734-258-3080
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Fax |
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. DOUG GILDNER
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Credential |
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Telephone | 734-658-7691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 821069
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License Number State | MI
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