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General NPI Number Information
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NPI Number | 1932875721
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Entity Type | Organization
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Legal Business Name | COPPER PALETTE & ASSOCIATES
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 1401 COLLEGE AVE
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City | HOUGHTON
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State | MI
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Zip | 49931
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Country | US
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Telephone | 906-370-1524
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Fax |
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Provider Business Mailing Address
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Address Line | 22221 BROEMER RD
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City | CHASSELL
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State | MI
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Zip | 49916-9114
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Country | US
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Telephone | 906-370-1524
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROL SALO
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Credential | MSW
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Telephone | 906-370-1524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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