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General NPI Number Information
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NPI Number | 1508780438
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICAL CENTER OF MICHIGAN,INC
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Dates
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Enumeration Date | 08/05/2026
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 5102 N STONY CREEK RD
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City | MONROE
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State | MI
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Zip | 48162-9158
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Country | US
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Telephone | 734-289-5555
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Fax | 734-850-0520
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Provider Business Mailing Address
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Address Line | 8765 LEWIS AVE
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City | TEMPERANCE
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State | MI
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Zip | 48182-9583
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Country | US
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Telephone | 734-847-3802
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Fax | 734-850-0520
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Authorized Official
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Title or Position | CEO
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Name | ED LARKINS
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Credential |
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Telephone | 734-850-6914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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