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General NPI Number Information
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NPI Number | 1457685893
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Entity Type | Organization
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Legal Business Name | ALLEGAN CARE OPERATING CO LLC
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 1200 ELY ST
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City | ALLEGAN
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State | MI
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Zip | 49010-9368
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Country | US
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Telephone | 269-673-5494
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Fax | 269-673-4796
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Provider Business Mailing Address
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Address Line | 4000 TOWN CTR STE 2000
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City | SOUTHFIELD
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State | MI
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Zip | 48075-1415
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Country | US
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Telephone | 248-386-0300
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Fax | 248-386-0314
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Authorized Official
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Title or Position | PRESIDENT
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Name | MOHAMMAD ASHRAF QAZI
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Credential |
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Telephone | 248-386-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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