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General NPI Number Information
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NPI Number | 1932748316
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Entity Type | Organization
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Legal Business Name | TREATMINT
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Dates
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Enumeration Date | 01/02/2020
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Last Update Date | 01/02/2020
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Provider Practice Location Address
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Address Line | 369 US HIGHWAY 41 E
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City | NEGAUNEE
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State | MI
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Zip | 49866-9624
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Country | US
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Telephone | 906-869-4660
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Fax |
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Provider Business Mailing Address
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Address Line | 369 US HIGHWAY 41 E
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City | NEGAUNEE
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State | MI
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Zip | 49866-9624
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Country | US
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Telephone | 906-869-4660
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNA R GIORDANA
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Credential |
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Telephone | 906-869-4660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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