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General NPI Number Information
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NPI Number | 1093699985
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Entity Type | Organization
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Legal Business Name | MICHIGAN HEALTHCARE PROFESSIONALS, P.C.
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 8025 ALLEN RD
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City | ALLEN PARK
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State | MI
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Zip | 48101-1705
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Country | US
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Telephone | 313-386-0080
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Fax | 313-383-7150
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Provider Business Mailing Address
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Address Line | 29992 NORTHWESTERN HWY STE C
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3292
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Country | US
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Telephone | 248-851-1430
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Fax | 248-851-5182
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | AUGHTUM HALSEY
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Credential |
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Telephone | 248-780-6615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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