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General NPI Number Information
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NPI Number | 1013782028
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Entity Type | Organization
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Legal Business Name | CLM ENTERPRISES INC.
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Dates
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Enumeration Date | 11/20/2023
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 950 N 10TH ST STE 100
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City | KALAMAZOO
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State | MI
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Zip | 49009-6112
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Country | US
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Telephone | 269-238-0060
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Fax |
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Provider Business Mailing Address
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Address Line | 1971 E BELTLINE AVE NE STE 219
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-7061
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Country | US
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Telephone | 616-229-0004
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEE BECK
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Credential |
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Telephone | 616-719-2928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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