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General NPI Number Information
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NPI Number | 1558862433
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Entity Type | Organization
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Legal Business Name | OAKWOOD ACCOUNTABLE CARE ORGANIZATION, LLC
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 26911 NORTHWESTERN HWY STE 530
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City | SOUTHFIELD
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State | MI
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Zip | 48033-4717
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Country | US
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Telephone | 947-522-0017
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Fax | 947-522-0038
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Provider Business Mailing Address
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Address Line | 26911 NORTHWESTERN HWY STE 530
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City | SOUTHFIELD
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State | MI
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Zip | 48033-4717
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Country | US
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Telephone | 947-522-0017
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR & COO
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Name | MR. WALTER R. LORANG III
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Credential | MBA
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Telephone | 947-522-0031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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