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General NPI Number Information
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NPI Number | 1619580792
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Entity Type | Organization
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Legal Business Name | COMMUNITY AWARENESS AND MANAGING PATHWAYS
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 1735 PECK ST
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City | MUSKEGON
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State | MI
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Zip | 49441-2507
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Country | US
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Telephone | 231-246-7836
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Fax |
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Provider Business Mailing Address
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Address Line | 1735 PECK ST
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City | MUSKEGON
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State | MI
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Zip | 49441-2507
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Country | US
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Telephone | 231-246-7836
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Fax |
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Authorized Official
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Title or Position | INSURANCE BILLER
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Name | SHERRI BLACK
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Credential |
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Telephone | 231-246-7836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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