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General NPI Number Information
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NPI Number | 1578767893
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Entity Type | Organization
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Legal Business Name | TORCH LAKE TOWNSHIP
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 10/26/2024
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Provider Practice Location Address
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Address Line | 2355 US 31 N
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City | EASTPORT
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State | MI
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Zip | 49627
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Country | US
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Telephone | 231-599-2174
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Fax | 231-599-2174
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Provider Business Mailing Address
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Address Line | PO BOX 713 2355 US 31 N
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City | EASTPORT
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State | MI
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Zip | 49627-0713
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Country | US
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Telephone | 231-599-2174
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Fax | 231-599-2174
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Authorized Official
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Title or Position | TREASURER
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Name | SHARON ANN SCHULTZ
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Credential |
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Telephone | 231-599-2036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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