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General NPI Number Information
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NPI Number | 1447162201
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Entity Type | Organization
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Legal Business Name | KENDALL MACARTHUR FRIDLEY
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 300 W WASHINGTON AVE STE 305
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City | JACKSON
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State | MI
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Zip | 49201-2177
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Country | US
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Telephone | 808-426-6521
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Fax |
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Provider Business Mailing Address
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Address Line | 4536 S 2ND ST
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City | PITTSFORD
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State | MI
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Zip | 49271-9400
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Country | US
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Telephone | 808-426-6521
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Fax |
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Authorized Official
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Title or Position | LLP
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Name | KENDALL MACARTHUR FRIDLEY
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Credential | MA LLP
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Telephone | 808-426-6521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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