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General NPI Number Information
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NPI Number | 1437715174
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Entity Type | Individual
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Provider Name | JOHN ANGELO MACARI
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Gender | Male
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Dates
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Enumeration Date | 05/17/2019
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Last Update Date | 08/10/2025
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Provider Practice Location Address
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Address Line | 3131 S STATE ST STE 226
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City | ANN ARBOR
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State | MI
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Zip | 48108-1658
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Country | US
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Telephone | 800-963-1916
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Fax |
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Provider Business Mailing Address
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Address Line | 2485 CARRIAGE CT
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City | YPSILANTI
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State | MI
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Zip | 48197-7429
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Country | US
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Telephone | 734-972-7747
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6361002356
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License Number State | MI
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