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General NPI Number Information
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NPI Number | 1831402684
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Entity Type | Organization
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Legal Business Name | URBAN HEALTH AND WELLNESS CENTER
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 303 E KEARSLEY ST 1153 WILLIAM S. WHITE BUILDING
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City | FLINT
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State | MI
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Zip | 48502-1907
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Country | US
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Telephone | 810-424-5269
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Fax | 810-424-5288
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Provider Business Mailing Address
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Address Line | 303 E KEARSLEY ST 1153 WILLIAM S. WHITE BUILDING
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City | FLINT
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State | MI
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Zip | 48502-1907
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Country | US
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Telephone | 810-424-5269
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Fax | 810-424-5288
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | SUSAN SCHNEBERGER
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Credential | LMSW, ACSW, JD
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Telephone | 810-424-5366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 4301063412
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License Number State | MI
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