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General NPI Number Information
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NPI Number | 1043286537
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Entity Type | Organization
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Legal Business Name | CASE MANAGEMENT OF MICHIGAN, INC.
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 5340 HOLIDAY TER STE 9
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City | KALAMAZOO
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State | MI
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Zip | 49009-2196
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Country | US
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Telephone | 269-381-4446
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Fax | 269-381-4457
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Provider Business Mailing Address
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Address Line | 5340 HOLIDAY TER STE 9
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City | KALAMAZOO
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State | MI
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Zip | 49009-2196
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Country | US
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Telephone | 269-381-4446
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Fax | 269-381-4457
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. CARRI JOY TIMMONS STASKIEWICZ
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Credential | LMSW
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Telephone | 269-381-4446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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