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General NPI Number Information
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NPI Number | 1417099417
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Entity Type | Organization
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Legal Business Name | BIOMED BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 31581 GRATIOT AVE
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City | ROSEVILLE
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State | MI
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Zip | 48066-4528
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Country | US
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Telephone | 586-783-4802
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Fax | 586-218-6602
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Provider Business Mailing Address
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Address Line | 31581 GRATIOT AVE
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City | ROSEVILLE
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State | MI
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Zip | 48066-4528
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Country | US
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Telephone | 586-783-4802
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Fax | 586-218-6602
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Authorized Official
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Title or Position | CEO
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Name | SEAN MICHAEL MCCARROLL
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Credential |
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Telephone | 586-783-4802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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