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General NPI Number Information
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NPI Number | 1447023999
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Entity Type | Organization
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Legal Business Name | MSU HEALTH CARE INC
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 4660 S HAGADORN RD STE 100
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City | EAST LANSING
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State | MI
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Zip | 48823-5353
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Country | US
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Telephone | 517-353-3776
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Fax | 517-353-3510
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Provider Business Mailing Address
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Address Line | 4660 S HAGADORN RD STE 100
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City | EAST LANSING
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State | MI
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Zip | 48823-5353
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Country | US
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Telephone | 517-353-3776
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Fax | 517-353-3510
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT MANGER
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Name | RELANDA PRICE
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Credential |
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Telephone | 517-884-2976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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