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General NPI Number Information
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NPI Number | 1578875027
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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 | 07/12/2010
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 1501 W CHISHOLM ST SUITE 201
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City | ALPENA
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State | MI
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Zip | 49707-1401
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Country | US
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Telephone | 989-356-4049
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 W CHISHOLM ST SUITE 201
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City | ALPENA
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State | MI
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Zip | 49707-1401
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRISTINE BAUMGARDNER
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Credential |
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Telephone | 989-736-3020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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