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General NPI Number Information
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NPI Number | 1093671539
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Entity Type | Organization
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Legal Business Name | MICHIGAN APP CONSULTANTS
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 2400 GREENFIELD ROAD SUITE 101
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City | BERKLEY
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State | MI
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Zip | 48072
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Country | US
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Telephone | 248-977-2898
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Fax |
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Provider Business Mailing Address
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Address Line | 2104 PINECREST DR
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City | FERNDALE
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State | MI
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Zip | 48220-1225
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MADELINE ODOM
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Credential | PA
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Telephone | 248-977-2898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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