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General NPI Number Information
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NPI Number | 1659602076
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Entity Type | Organization
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Legal Business Name | ADULT LEARNING SYSTEMS-U.P.
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 228 W WASHINGTON ST STE 4
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City | MARQUETTE
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State | MI
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Zip | 49855-4409
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Country | US
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Telephone | 906-228-7370
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Fax | 906-228-6622
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Provider Business Mailing Address
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Address Line | 228 W WASHINGTON ST STE 4
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City | MARQUETTE
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State | MI
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Zip | 49855-4409
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Country | US
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Telephone | 906-228-7370
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Fax | 906-228-6622
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MRS. KAREN L LAFAVE
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Credential |
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Telephone | 906-228-7370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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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 | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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