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General NPI Number Information
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NPI Number | 1447110499
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Entity Type | Individual
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Provider Name | KANE ARIES GERENCER
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Gender | Male
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 10751 S SAGINAW ST
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City | GRAND BLANC
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State | MI
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Zip | 48439-8169
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Country | US
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Telephone | 586-214-6898
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Fax | 586-214-6898
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Provider Business Mailing Address
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Address Line | 1039 E GILES RD
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City | MUSKEGON
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State | MI
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Zip | 49445-2625
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Country | US
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Telephone | 231-888-4998
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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