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General NPI Number Information
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NPI Number | 1811007875
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY OFFICE ON AGING
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5303 S CEDAR ST DOOR #1
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City | LANSING
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State | MI
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Zip | 48911-3800
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Country | US
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Telephone | 517-887-1440
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Fax |
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Provider Business Mailing Address
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Address Line | 5303 S CEDAR ST DOOR #1
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City | LANSING
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State | MI
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Zip | 48911-3800
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Country | US
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Telephone | 517-887-1440
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Fax |
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Authorized Official
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Title or Position | HUMAN RESOURCES
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Name | MRS. PHYLLIS LEHMAN
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Credential |
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Telephone | 517-887-1440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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