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General NPI Number Information
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NPI Number | 1326848250
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Entity Type | Organization
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Legal Business Name | 27577 LAHSER OPERATOR, LP
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 27577 LAHSER RD
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City | SOUTHFIELD
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State | MI
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Zip | 48034-4729
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Country | US
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Telephone | 947-366-1994
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Fax |
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Provider Business Mailing Address
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Address Line | 7366 N LINCOLN AVE STE 304
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City | LINCOLNWOOD
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State | IL
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Zip | 60712-1740
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Country | US
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Telephone | 773-851-1328
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MICHAEL KLEIN
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Credential |
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Telephone | 773-851-1328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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