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General NPI Number Information
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NPI Number | 1982420790
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Entity Type | Organization
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Legal Business Name | CHARTER TOWNSHIP OF WATERFORD
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 3621 PONTIAC LAKE RD
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City | WATERFORD
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State | MI
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Zip | 48328-2342
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Country | US
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Telephone | 248-682-9450
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 CIVIC CENTER DR
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City | WATERFORD
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State | MI
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Zip | 48329-3715
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Country | US
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Telephone | 248-674-6209
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Fax |
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Authorized Official
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Title or Position | ACCOUNTING AND BUDGET
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Name | BARBARA L. MILLER
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Credential |
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Telephone | 248-674-6209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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