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General NPI Number Information
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NPI Number | 1073568978
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Entity Type | Organization
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Legal Business Name | MCLAREN CARO REGION
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 401 N HOOPER ST
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City | CARO
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State | MI
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Zip | 48723-1476
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Country | US
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Telephone | 989-673-3141
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Fax | 989-673-8471
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Provider Business Mailing Address
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Address Line | PO BOX 435
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City | CARO
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State | MI
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Zip | 48723-0435
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Country | US
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Telephone | 989-673-3141
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Fax | 989-673-8471
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Authorized Official
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Title or Position | CFO
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Name | KENNETH BARANSKI
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Credential |
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Telephone | 989-269-1510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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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 | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 790032
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License Number State | MI
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