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General NPI Number Information
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NPI Number | 1386207868
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Entity Type | Organization
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Legal Business Name | M&M QUALITY CARE
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Dates
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Enumeration Date | 04/19/2019
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Last Update Date | 04/19/2019
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Provider Practice Location Address
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Address Line | 6411 BELLA VISTA DR NE STE 1
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City | ROCKFORD
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State | MI
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Zip | 49341-7869
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Country | US
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Telephone | 616-285-7000
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Fax | 616-469-2964
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Provider Business Mailing Address
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Address Line | 6411 BELLA VISTA DR NE STE 1
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City | ROCKFORD
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State | MI
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Zip | 49341-7869
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Country | US
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Telephone | 616-285-7000
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Fax | 616-469-2964
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL THOMAS MERREN
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Credential | CSA
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Telephone | 616-285-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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