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General NPI Number Information
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NPI Number | 1578073391
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Entity Type | Organization
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Legal Business Name | ALCONA CITIZENS FOR HEALTH, INC.
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Dates
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Enumeration Date | 10/06/2017
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Last Update Date | 10/06/2017
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Provider Practice Location Address
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Address Line | 3550 E RIVER RD
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City | OSCODA
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State | MI
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Zip | 48750-9025
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Country | US
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Telephone | 989-739-9121
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 655
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City | ALPENA
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State | MI
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Zip | 49707-0655
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Country | US
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Telephone | 989-736-9815
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHRISTINE BAUMGARDNER
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Credential |
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Telephone | 989-358-0673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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