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General NPI Number Information
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NPI Number | 1295508265
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Entity Type | Organization
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Legal Business Name | HOC MANAGEMENT SERVICES ORG
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Dates
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Enumeration Date | 11/01/2023
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 2250 BUTTERFIELD DR STE 220
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City | DETROIT
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State | MI
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Zip | 48084
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Country | US
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Telephone | 800-478-2562
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Fax |
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Provider Business Mailing Address
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Address Line | 2630 W LAFAYETTE BLVD
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City | DETROIT
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State | MI
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Zip | 48216-2019
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Country | US
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Telephone | 800-478-2562
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TROYQUIA CARTER
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Credential |
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Telephone | 800-478-2562
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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