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General NPI Number Information
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NPI Number | 1962775080
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Entity Type | Organization
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Legal Business Name | ALCONA CITIZENS FOR HEALTH, INC
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Dates
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Enumeration Date | 02/21/2012
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 200 HEMLOCK ST
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City | TAWAS CITY
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State | MI
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Zip | 48763-9237
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Country | US
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Telephone | 989-736-8157
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 279
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City | LINCOLN
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State | MI
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Zip | 48742-0279
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Country | US
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Telephone | 989-736-8157
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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 | CHRISTINE M BAUMGARDNER
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Credential |
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Telephone | 989-736-3020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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