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NPI 1841987997

NPI 1841987997 : ON POINT 4 VETERANS BENEFITS PLLC : TRAVERSE CITY, MI

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General NPI Number Information
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    NPI Number           |    1841987997
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    Entity Type          |    Organization 
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    Legal Business Name  |    ON POINT 4 VETERANS BENEFITS PLLC 
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Dates
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    Enumeration Date     |    04/19/2023
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    Last Update Date     |    05/06/2023
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Provider Practice Location Address
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    Address Line         |    1889 E RIVER RD 
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    City                 |    TRAVERSE CITY
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    State                |    MI
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    Zip                  |    49696-8221
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    Country              |    US
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    Telephone            |    850-377-1960
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1889 E RIVER RD 
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    City                 |    TRAVERSE CITY
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    State                |    MI
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    Zip                  |    49696-8221
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    Country              |    US
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    Telephone            |    850-377-1960
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/COUNSELOR
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    Name                 |     MICHAEL F COONNAN 
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    Credential           |    LMSW
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    Telephone            |    850-377-1960
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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       |    
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    License Number State |    
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