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General NPI Number Information
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NPI Number | 1659297992
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Entity Type | Organization
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Legal Business Name | PAYTON AFC HOME LLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 5520 KUZMIK RD
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City | ELMIRA
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State | MI
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Zip | 49730-9534
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Country | US
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Telephone | 231-881-5999
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Fax | 231-549-3477
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Provider Business Mailing Address
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Address Line | 5520 KUZMIK RD
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City | ELMIRA
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State | MI
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Zip | 49730-9534
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Country | US
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Telephone | 231-881-5999
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Fax | 231-549-3477
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Authorized Official
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Title or Position | OWNER
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Name | PAYTON CHASE BAUMAN
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Credential |
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Telephone | 231-881-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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