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General NPI Number Information
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NPI Number | 1265600902
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Entity Type | Organization
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Legal Business Name | MCLAREN GREATER LANSING
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 1515 LAKE LANSING RD SUITE O
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City | LANSING
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State | MI
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Zip | 48912
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Country | US
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Telephone | 517-372-9967
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Fax | 517-372-0669
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Provider Business Mailing Address
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Address Line | 1515 LAKE LANSING RD SUITE O
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City | LANSING
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State | MI
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Zip | 48912-3753
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Country | US
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Telephone | 517-372-9967
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Fax | 517-372-0669
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Authorized Official
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Title or Position | CFO
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Name | MR. DALE THOMPSON
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Credential |
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Telephone | 517-975-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number |
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License Number State |
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