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General NPI Number Information
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NPI Number | 1609748839
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Entity Type | Organization
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Legal Business Name | CASCADES OC CLARE, LLC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 684 ANN ARBOR TRL
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City | CLARE
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State | MI
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Zip | 48617-9417
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Country | US
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Telephone | 989-386-7524
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Fax | 989-424-6624
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Provider Business Mailing Address
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Address Line | 684 ANN ARBOR TRL
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City | CLARE
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State | MI
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Zip | 48617-9417
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Country | US
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Telephone | 989-386-7524
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Fax | 989-424-6624
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Authorized Official
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Title or Position | CEO
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Name | MARC CAPP
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Credential |
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Telephone | 989-255-9429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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