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General NPI Number Information
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NPI Number | 1598632630
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Entity Type | Organization
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Legal Business Name | MONARCH LEGACY
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 634 GRASSHOPPER APT 328
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City | KALAMAZOO
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State | MI
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Zip | 49009-3208
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Country | US
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Telephone | 269-568-1296
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Fax |
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Provider Business Mailing Address
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Address Line | 5343 CONTINENTAL TRL
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City | KALAMAZOO
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State | MI
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Zip | 49009-6950
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Country | US
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Telephone | 269-568-1296
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JOYCE AULDS
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Credential |
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Telephone | 269-290-5014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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