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General NPI Number Information
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NPI Number | 1134762859
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Entity Type | Organization
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Legal Business Name | SHALES CASE MANAGEMENT, LLC
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 5161 E COURT ST N STE 3
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City | BURTON
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State | MI
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Zip | 48509-1543
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Country | US
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Telephone | 810-652-6383
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Fax | 810-412-4713
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Provider Business Mailing Address
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Address Line | 4465 DAVISON RD # 90644
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City | BURTON
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State | MI
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Zip | 48509-9991
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Country | US
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Telephone | 810-652-6383
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Fax | 810-412-4713
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Authorized Official
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Title or Position | MEDICAL CASE MANAGER/ OWNER
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Name | MRS. SHARON CHRISTINE HALE
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Credential | BS
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Telephone | 810-652-6383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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