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General NPI Number Information
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NPI Number | 1093523003
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Entity Type | Organization
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Legal Business Name | KARE WELL, LLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 103 ECORSE RD STE 11
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City | YPSILANTI
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State | MI
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Zip | 48198-5743
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Country | US
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Telephone | 877-745-7452
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Fax | 888-288-5304
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Provider Business Mailing Address
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Address Line | PO BOX 24183
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City | LANSING
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State | MI
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Zip | 48909-4183
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Country | US
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Telephone | 877-745-7452
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Fax |
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Authorized Official
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Title or Position | PRINCIPLE, CEO
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Name | KAREN GREENE REYNOLDS
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Credential | DHA, BCPA, CPC
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Telephone | 517-712-9787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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