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NPI 1396436937

NPI 1396436937 : GENESEE HEALTH SYSTEM : DAVISON, MI

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General NPI Number Information
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    NPI Number           |    1396436937
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    Entity Type          |    Organization 
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    Legal Business Name  |    GENESEE HEALTH SYSTEM 
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Dates
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    Enumeration Date     |    05/16/2023
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    Last Update Date     |    06/05/2025
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Provider Practice Location Address
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    Address Line         |    9171 LAPEER RD STE 200 
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    City                 |    DAVISON
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    State                |    MI
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    Zip                  |    48423-3617
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    Country              |    US
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    Telephone            |    810-496-4881
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1040 W BRISTOL RD 
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    City                 |    FLINT
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    State                |    MI
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    Zip                  |    48507-5516
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    Country              |    US
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    Telephone            |    810-496-5389
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    Fax                  |    
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Authorized Official
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    Title or Position    |    REIMBURSEMENT OFFICER
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    Name                 |     JEAN  TROOP 
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    Credential           |    
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    Telephone            |    810-247-3469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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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        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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