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General NPI Number Information
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NPI Number | 1225425234
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Entity Type | Organization
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Legal Business Name | NUCH OF MICHIGAN, INC.
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Dates
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Enumeration Date | 04/17/2015
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 11502 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48150-3055
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Country | US
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Telephone | 734-762-0739
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Fax | 734-762-0749
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Provider Business Mailing Address
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Address Line | 11502 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48150-3055
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Country | US
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Telephone | 734-762-0739
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Fax | 734-762-0749
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Authorized Official
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Title or Position | SVP, OUTPATIENT SERVICES, TENET
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Name | MR. MICHAEL KYLE BURTNETT
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Credential |
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Telephone | 469-893-2902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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