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General NPI Number Information
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NPI Number | 1316814668
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Entity Type | Organization
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Legal Business Name | EXPONENTIAL HEALTH,PC
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 2155 E PARIS AVE SE STE 220
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-6195
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Country | US
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Telephone | 616-548-6161
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Fax | 616-280-5926
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Provider Business Mailing Address
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Address Line | 5005 CASCADE RD SE STE B
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8411
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Country | US
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Telephone | 616-221-4452
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Fax | 616-333-7233
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Authorized Official
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Title or Position | CEO
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Name | MR. ROGER JANSEN
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Credential |
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Telephone | 616-581-2755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family 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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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