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NPI 1366634784

NPI 1366634784 : MATTHEW REMES : EAST LANSING, MI

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General NPI Number Information
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    NPI Number           |    1366634784
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    Entity Type          |    Individual 
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    Provider Name        |    MATTHEW REMES
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/10/2007
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    Last Update Date     |    12/16/2025
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Provider Practice Location Address
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    Address Line         |    1750 E GRAND RIVER AVE STE 100 
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    City                 |    EAST LANSING
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    State                |    MI
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    Zip                  |    48823-4958
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    Country              |    US
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    Telephone            |    517-295-3726
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    Fax                  |    844-927-4501
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Provider Business Mailing Address
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    Address Line         |    1750 E GRAND RIVER AVE STE 100 
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    City                 |    EAST LANSING
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    State                |    MI
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    Zip                  |    48823-4958
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    Country              |    US
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    Telephone            |    517-295-3726
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    Fax                  |    844-927-4501
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    6801089407
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    6801089407
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    License Number State |    MI
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