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General NPI Number Information
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NPI Number | 1679561468
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Entity Type | Organization
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Legal Business Name | MYMICHIGAN MEDICAL CENTER TAWAS
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 25 M 55 E
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City | TAWAS CITY
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State | MI
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Zip | 48763-9362
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Country | US
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Telephone | 989-362-2540
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Fax | 989-362-7290
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Provider Business Mailing Address
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Address Line | PO BOX 779
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City | TAWAS CITY
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State | MI
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Zip | 48764-0779
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Country | US
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Telephone | 989-362-2540
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Fax | 989-362-7290
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Authorized Official
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Title or Position | MANAGER PATIENT ACCOUNTING
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Name | AMANDA PEIRCE
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Credential |
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Telephone | 989-356-7597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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