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General NPI Number Information
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NPI Number | 1851867519
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Entity Type | Organization
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Legal Business Name | MID-MICHIGAN FACILITATION
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 10/22/2018
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Provider Practice Location Address
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Address Line | 3718 LEONARD LN
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City | MIDLAND
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State | MI
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Zip | 48640-3472
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Country | US
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Telephone | 989-631-4439
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Fax |
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Provider Business Mailing Address
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Address Line | 3718 LEONARD LN
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City | MIDLAND
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State | MI
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Zip | 48640-3472
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Country | US
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Telephone | 989-631-4439
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MICHELLE I VOUAUX
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Credential |
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Telephone | 989-488-7614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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