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General NPI Number Information
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NPI Number | 1700252558
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Entity Type | Organization
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Legal Business Name | CITY OF BELLEVILLE
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 08/17/2015
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Provider Practice Location Address
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Address Line | 25 2ND ST
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City | BELLEVILLE
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State | MI
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Zip | 48111-2707
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Country | US
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Telephone | 734-394-6892
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Fax |
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Provider Business Mailing Address
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Address Line | 6 MAIN ST
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City | BELLEVILLE
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State | MI
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Zip | 48111-2736
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Country | US
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Telephone | 734-394-6892
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Fax |
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Authorized Official
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Title or Position | LIEUTENANT
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Name | MR. BRIAN BLACKBURN
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Credential |
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Telephone | 734-394-6892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | 821052
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License Number State | MI
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