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General NPI Number Information
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NPI Number | 1689796930
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Entity Type | Organization
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Legal Business Name | CHIPPEWA COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 904 MARQUETTE AVE ROOM 622
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City | SAULT SAINTE MARIE
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State | MI
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Zip | 49783-3301
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Country | US
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Telephone | 906-632-5690
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Fax | 906-635-1325
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Provider Business Mailing Address
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Address Line | 508 ASHMUN ST STE 120
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City | SAULT SAINTE MARIE
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State | MI
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Zip | 49783-1976
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Country | US
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Telephone | 906-635-1568
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Fax | 906-253-1466
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | KAREN MARIE SENKUS
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Credential |
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Telephone | 906-253-3103
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 6301008585
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 4301030101
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number | 4301030101
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License Number State | MI
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