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General NPI Number Information
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NPI Number | 1851865638
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Entity Type | Organization
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Legal Business Name | HARBOR HALL, INC.
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 03/23/2025
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Provider Practice Location Address
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Address Line | 302 ORCHARD RIDGE DR
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City | PETOSKEY
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State | MI
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Zip | 49770-8414
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Country | US
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Telephone | 231-347-9880
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Fax |
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Provider Business Mailing Address
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Address Line | 704 EMMET ST
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City | PETOSKEY
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State | MI
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Zip | 49770-2910
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PATRICK MICHAEL MCGINN
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Credential |
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Telephone | 231-347-5511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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