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General NPI Number Information
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NPI Number | 1770033292
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Entity Type | Organization
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Legal Business Name | MUSKEGON YOUNG MEN'S CHRISTIAN ASSOCIATION
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Dates
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Enumeration Date | 10/07/2016
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 1115 3RD ST
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City | MUSKEGON
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State | MI
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Zip | 49441-2170
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Country | US
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Telephone | 231-722-9622
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Fax | 231-525-2890
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Provider Business Mailing Address
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Address Line | PO BOX 1667
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City | MUSKEGON
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State | MI
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Zip | 49443-1667
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Country | US
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Telephone | 231-722-9622
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Fax | 231-525-2890
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Authorized Official
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Title or Position | CEO
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Name | GABRIELLE GERLACH
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Credential |
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Telephone | 231-722-9622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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