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General NPI Number Information
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NPI Number | 1316203094
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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 | 04/06/2012
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 401 W GREENLAWN AVE
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City | LANSING
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State | MI
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Zip | 48910
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Country | US
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Telephone | 517-974-2314
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Fax | 989-936-5903
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Provider Business Mailing Address
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Address Line | 401 W GREENLAWN AVE SUITE 135
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City | LANSING
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State | MI
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Zip | 48910-2819
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Country | US
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Telephone | 517-974-2314
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Fax | 989-936-5903
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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