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General NPI Number Information
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NPI Number | 1316938327
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Entity Type | Organization
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Legal Business Name | MCLAREN MACOMB
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 04/15/2022
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Provider Practice Location Address
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Address Line | 1000 HARRINGTON ST
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043
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Country | US
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Telephone | 586-493-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 HARRINGTON ST
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-2920
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Country | US
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Telephone | 586-493-8000
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | BRIAN S BALUTANSKI
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Credential |
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Telephone | 586-493-8985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 1060000090
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License Number State | MI
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