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General NPI Number Information
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NPI Number | 1316217631
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Entity Type | Organization
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Legal Business Name | SYNCERE HEALTH GROUP
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Dates
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Enumeration Date | 01/03/2012
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 1325 S LINDEN RD
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City | FLINT
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State | MI
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Zip | 48532-3408
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Country | US
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Telephone | 810-730-4677
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Fax | 810-720-3122
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Provider Business Mailing Address
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Address Line | 1325 S LINDEN RD
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City | FLINT
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State | MI
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Zip | 48532-3408
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Country | US
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Telephone | 810-730-4677
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Fax | 810-720-3122
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARK EVANS RICE II
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Credential | B.S.
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Telephone | 810-730-4677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 04069P
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License Number State | MI
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