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General NPI Number Information
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NPI Number | 1902460256
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Entity Type | Organization
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Legal Business Name | CITY ON A HILL MINISTRIES
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 100 PINE ST STE 140
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City | ZEELAND
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State | MI
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Zip | 49464-2603
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Country | US
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Telephone | 616-748-6009
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PINE ST STE 140
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City | ZEELAND
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State | MI
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Zip | 49464-2603
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Country | US
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Telephone | 616-748-6009
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Fax |
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | MRS. CHRISTINE D PLUMMER
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Credential | MSN RN
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Telephone | 616-748-6009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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