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General NPI Number Information
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NPI Number | 1942849492
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Entity Type | Organization
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Legal Business Name | REGION VII COMPLETE COMMUNITY CARE
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Dates
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Enumeration Date | 01/02/2020
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 1601 S EUCLID AVE
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City | BAY CITY
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State | MI
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Zip | 48706-3319
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Country | US
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Telephone | 989-893-4506
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 S EUCLID AVE
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City | BAY CITY
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State | MI
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Zip | 48706-3319
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Country | US
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Telephone | 989-893-4506
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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 | MEGAN TWARDECKI
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Credential | RN
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Telephone | 989-439-7526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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