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General NPI Number Information
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NPI Number | 1376564088
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Entity Type | Organization
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Legal Business Name | MCLAREN OAKLAND
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 50 N PERRY ST
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City | PONTIAC
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State | MI
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Zip | 48342-2217
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Country | US
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Telephone | 248-338-5000
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Fax | 248-338-5262
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Provider Business Mailing Address
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Address Line | 50 N PERRY ST
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City | PONTIAC
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State | MI
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Zip | 48342-2217
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Country | US
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Telephone | 248-338-5000
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Fax | 248-338-5262
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Authorized Official
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Title or Position | VP/CFO
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Name | LYNN MARCOTTE
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Credential |
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Telephone | 248-338-5691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 630120
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 630120
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number | 631247
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 630120
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License Number State | MI
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