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General NPI Number Information
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NPI Number | 1821107046
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Entity Type | Organization
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Legal Business Name | TOWNSHIP OF GROSSE ILE
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 24525 MERIDIAN RD
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City | GROSSE ILE
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State | MI
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Zip | 48138-2149
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Country | US
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Telephone | 734-676-7157
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Fax | 734-692-9694
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Provider Business Mailing Address
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Address Line | 9601 GROH RD
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City | GROSSE ILE
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State | MI
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Zip | 48138-2171
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Country | US
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Telephone | 734-676-7157
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Fax | 734-692-9694
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | ANN DARZNIEK
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Credential |
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Telephone | 734-676-4422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 821009
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License Number State | MI
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