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General NPI Number Information
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NPI Number | 1154606465
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Entity Type | Organization
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Legal Business Name | PERSONAL CARE MEDICINE ASSOCIATES, PLC
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 14825 SOUTHFIELD RD
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City | ALLEN PARK
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State | MI
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Zip | 48101-2642
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Country | US
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Telephone | 734-307-8270
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Fax |
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Provider Business Mailing Address
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Address Line | 14825 SOUTHFIELD RD
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City | ALLEN PARK
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State | MI
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Zip | 48101-2642
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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 | SOLE MEMBER
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Name | MRS. ANNEMARIE LINARES
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Credential | M.D.
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Telephone | 734-260-4955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301054293
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License Number State | MI
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