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General NPI Number Information
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NPI Number | 1831469261
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Entity Type | Organization
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Legal Business Name | THE FAMILY CENTER, INC
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Dates
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Enumeration Date | 01/02/2012
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 56332 M 51 S
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City | DOWAGIAC
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State | MI
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Zip | 49047-9763
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Country | US
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Telephone | 269-782-9811
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Fax | 269-782-9812
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Provider Business Mailing Address
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Address Line | 56332 M 51 S PO BOX 86
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City | DOWAGIAC
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State | MI
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Zip | 49047-9763
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Country | US
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Telephone | 269-782-9811
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Fax | 269-782-9812
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. DONALD W LUDMAN
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Credential | PHD
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Telephone | 269-782-9811
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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 | 6802021351
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License Number State | MI
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