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General NPI Number Information
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NPI Number | 1538569439
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Entity Type | Organization
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Legal Business Name | MAPLE HEALTHCARE MEDICAL CENTER P.C.
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Dates
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Enumeration Date | 08/27/2014
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Last Update Date | 08/27/2014
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Provider Practice Location Address
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Address Line | 2442 E MAPLE AVE STE 400
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City | FLINT
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State | MI
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Zip | 48507-4462
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Country | US
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Telephone | 734-686-4440
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Fax | 810-222-8934
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Provider Business Mailing Address
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Address Line | 2442 E MAPLE AVE STE 400
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City | FLINT
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State | MI
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Zip | 48507-4462
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Country | US
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Telephone | 734-686-4440
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Fax | 810-222-8934
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ROBERT L ALEXANDER
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Credential | M.D.
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Telephone | 734-686-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 4301044385
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License Number State | MI
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