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General NPI Number Information
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NPI Number | 1386662930
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Entity Type | Organization
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Legal Business Name | MCLAREN HEALTH MANAGEMENT GROUP
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 501 S MISSION ST
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City | MT PLEASANT
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State | MI
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Zip | 48858-2869
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Country | US
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Telephone | 800-862-3132
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Fax | 866-323-5974
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Provider Business Mailing Address
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Address Line | 1515 CAL DR
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City | DAVISON
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State | MI
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Zip | 48423-9016
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Country | US
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Telephone | 810-496-8640
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Fax | 810-496-8814
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Authorized Official
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Title or Position | VICE PRESIDENT/CFO
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Name | STEVEN DALE LOY
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Credential |
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Telephone | 810-496-8633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | MI
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