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General NPI Number Information
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NPI Number | 1689659450
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Entity Type | Organization
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Legal Business Name | STERLING AREA HEALTH CENTER
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 5095 RIFLE RIVER TRL
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City | ALGER
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State | MI
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Zip | 48610-9327
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Country | US
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Telephone | 989-873-5152
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Fax | 989-873-5913
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Provider Business Mailing Address
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Address Line | 5095 RIFLE RIVER TRL
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City | ALGER
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State | MI
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Zip | 48610-9327
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Country | US
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Telephone | 989-873-5152
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Fax | 989-873-5913
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Authorized Official
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Title or Position | CEO
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Name | JAMES J BALTEN JR.
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Credential |
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Telephone | 989-654-2072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State | MI
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