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General NPI Number Information
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NPI Number | 1861971061
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Entity Type | Organization
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Legal Business Name | SUPERIOR ALLIANCE FOR INDEPENDENT LIVING
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 1200 WRIGHT ST STE A
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City | MARQUETTE
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State | MI
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Zip | 49855-1837
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Country | US
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Telephone | 906-228-5744
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 WRIGHT ST STE A
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City | MARQUETTE
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State | MI
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Zip | 49855-1837
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Country | US
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Telephone | 906-228-5744
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SARAH PEURAKOSKI
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Credential |
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Telephone | 906-228-5744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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