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General NPI Number Information
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NPI Number | 1407935257
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Entity Type | Organization
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Legal Business Name | SPARROW DEVELOPMENT, INCORPORATED
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2909 E GRAND RIVER AVE
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City | LANSING
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State | MI
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Zip | 48912-4300
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Country | US
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Telephone | 517-364-8640
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Fax | 517-364-8644
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Provider Business Mailing Address
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Address Line | 1100 W SAGINAW ST
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City | LANSING
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State | MI
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Zip | 48915-1925
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Country | US
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Telephone | 517-364-7455
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Fax | 517-364-7465
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MR. RONALD J MELARAGNI
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Credential | R.PH.
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Telephone | 517-364-7455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5301006694
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License Number State | MI
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