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General NPI Number Information
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NPI Number | 1467302372
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Entity Type | Organization
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Legal Business Name | MICHAEL SERVICE GROUP, INC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 11811 N TATUM BLVD SUITE 3031
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City | PHOENIX
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State | AZ
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Zip | 85028
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Country | US
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Telephone | 480-573-9113
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Fax | 480-944-9486
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Provider Business Mailing Address
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Address Line | 11811 N TATUM BLVD STE 3031
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City | PHOENIX
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State | AZ
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Zip | 85028-1621
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Country | US
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Telephone | 480-573-9113
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Fax | 480-944-9486
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | GLEN MICHAEL
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Credential |
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Telephone | 480-944-9269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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