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General NPI Number Information
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NPI Number | 1629526868
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Entity Type | Organization
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Legal Business Name | AHC-PETOSKEY HIGH SCHOOL
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Dates
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Enumeration Date | 09/16/2016
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 1500 HILL ST
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City | PETOSKEY
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State | MI
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Zip | 49770-2782
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Country | US
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Telephone | 231-348-3160
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Fax | 231-348-2161
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Provider Business Mailing Address
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Address Line | 1500 HILL ST
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City | PETOSKEY
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State | MI
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Zip | 49770-2782
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Country | US
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Telephone | 231-348-3160
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Fax | 231-348-2161
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Authorized Official
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Title or Position | CEO
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Name | CHRISTINE BAUMGARDNER
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Credential |
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Telephone | 989-736-8157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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