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General NPI Number Information
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NPI Number | 1144313263
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Entity Type | Organization
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Legal Business Name | MID-MICHIGAN HEALTH CARE ASSOCIATES,LTD
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 842 W WARWICK DRIVE
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City | ALMA
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State | MI
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Zip | 48801-1178
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Country | US
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Telephone | 989-463-2200
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Fax | 989-463-2543
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Provider Business Mailing Address
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Address Line | 842 W WARWICK DR
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City | ALMA
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State | MI
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Zip | 48801-1178
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Country | US
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Telephone | 989-463-2200
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Fax | 989-463-2543
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID DEAN ROSLUND
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Credential |
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Telephone | 989-463-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 294060
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License Number State | MI
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