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General NPI Number Information
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NPI Number | 1669497053
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Entity Type | Organization
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Legal Business Name | COUNTY OF TUSCOLA HEALTH DEPT.
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 1309 CLEAVER RD SUITE B
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City | CARO
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State | MI
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Zip | 48723-9160
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Country | US
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Telephone | 989-673-8114
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Fax | 989-673-7490
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Provider Business Mailing Address
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Address Line | 1309 CLEAVER RD SUITE B
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City | CARO
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State | MI
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Zip | 48723-9160
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Country | US
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Telephone | 989-673-8114
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Fax | 989-673-7490
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | MS. GRETCHEN M TENBUSCH
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Credential | R.N., M.S.A.
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Telephone | 989-673-8114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 5101005982
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License Number State | MI
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