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General NPI Number Information
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NPI Number | 1013730332
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Entity Type | Organization
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Legal Business Name | TRINITY HEALTH-MICHIGAN
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 5333 MCAULEY DR RM 6014
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City | YPSILANTI
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State | MI
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Zip | 48197-1004
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Country | US
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Telephone | 734-712-2492
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Fax | 734-712-5465
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Provider Business Mailing Address
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Address Line | 5333 MCAULEY DR RM 6106
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City | YPSILANTI
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State | MI
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Zip | 48197-1005
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Country | US
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Telephone | 734-712-5591
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Fax |
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Authorized Official
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Title or Position | REGIONAL MANAGER RETAIL PHARMACY
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Name | MATTHEW F. NAVARRE
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Credential | PHARM-D
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Telephone | 734-712-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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