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General NPI Number Information
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NPI Number | 1518004407
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Entity Type | Organization
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Legal Business Name | MCLAREN MEDICAL MANAGEMENT INC.
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1314 S LINDEN RD
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City | FLINT
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State | MI
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Zip | 48532-3456
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Country | US
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Telephone | 810-342-1730
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Fax | 810-720-3482
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Provider Business Mailing Address
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Address Line | 401 S BALLENGER HWY
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City | FLINT
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State | MI
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Zip | 48532-3638
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Country | US
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Telephone | 810-342-1000
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Fax | 810-342-1590
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Authorized Official
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Title or Position | CORP DIRECTOR PHYSICIAN BILLING
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Name | DONALD J KANE
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Credential |
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Telephone | 810-342-1530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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