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General NPI Number Information
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NPI Number | 1619932381
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Entity Type | Organization
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Legal Business Name | COUNTY OF OTTAWA
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 12265 JAMES ST
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City | HOLLAND
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State | MI
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Zip | 49424-8613
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Country | US
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Telephone | 616-393-5600
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Fax | 616-393-5687
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Provider Business Mailing Address
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Address Line | 12265 JAMES ST
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City | HOLLAND
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State | MI
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Zip | 49424-8613
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Country | US
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Telephone | 616-393-5600
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Fax | 616-393-5687
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. LYNNE DOYLE
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Credential |
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Telephone | 616-494-5421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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