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General NPI Number Information
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NPI Number | 1730058017
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Entity Type | Organization
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Legal Business Name | INTEGRATED SERVICES OF KALAMAZOO
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 418 W KALAMAZOO AVE
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City | KALAMAZOO
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State | MI
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Zip | 49007-3334
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Country | US
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Telephone | 269-553-7120
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Fax |
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Provider Business Mailing Address
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Address Line | 615 E CROSSTOWN PKWY
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City | KALAMAZOO
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State | MI
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Zip | 49001-2501
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Country | US
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Telephone | 269-373-6000
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Fax |
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Authorized Official
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Title or Position | CARE COORDINATOR
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Name | MS. NIKKI REYNOLDS RHONDA-ALEXIS REYNOLDS
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Credential | LLMSW
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Telephone | 269-553-7063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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