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General NPI Number Information
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NPI Number | 1447782511
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Entity Type | Organization
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Legal Business Name | THE MIH GROUP, LLC
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 3001 PLYMOUTH RD SUITE 103
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City | ANN ARBOR
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State | MI
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Zip | 48105-3205
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Country | US
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Telephone | 734-929-9080
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 PLYMOUTH RD SUITE 103
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City | ANN ARBOR
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State | MI
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Zip | 48105-3205
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Country | US
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Telephone | 734-929-9080
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PHILLIP D BRECHTING
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Credential |
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Telephone | 734-249-4364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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