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General NPI Number Information
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NPI Number | 1578730321
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Entity Type | Organization
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Legal Business Name | BCHS NORTH AVENUE
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 632 NORTH AVE
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3249
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Country | US
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Telephone | 269-969-6145
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Fax | 269-969-6133
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Provider Business Mailing Address
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Address Line | 632 NORTH AVE
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3249
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Country | US
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Telephone | 269-969-6145
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Fax | 269-969-6133
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. JUDY A TURNER
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Credential |
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Telephone | 269-969-6145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TP068448
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | RK031921
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | SA075754
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | MB137196
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | VK211652
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DB057402
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License Number State | MI
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