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General NPI Number Information
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NPI Number | 1871508309
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Entity Type | Organization
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Legal Business Name | REGION II COMMISSION ON SERVICES TO THE AGING
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 102 N. MAIN ST.
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City | BROOKLYN
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State | MI
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Zip | 49230-0189
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Country | US
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Telephone | 517-592-1974
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Fax | 517-592-1975
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Provider Business Mailing Address
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Address Line | PO BOX 189
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City | BROOKLYN
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State | MI
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Zip | 49230-0189
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Country | US
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Telephone | 517-592-1974
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Fax | 517-592-1975
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. JULIE WETHERBY
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Credential |
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Telephone | 517-592-1974
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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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