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General NPI Number Information
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NPI Number | 1619727625
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Entity Type | Organization
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Legal Business Name | AMERICAN INTEGRATED CARE
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 3100 PLAINFIELD AVE NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49505-3261
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Country | US
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Telephone | 616-649-3485
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Fax | 616-649-3523
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Provider Business Mailing Address
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Address Line | 3100 PLAINFIELD AVE NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49505-3261
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Country | US
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Telephone | 616-649-3485
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Fax | 616-649-3523
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. REBECCA N ERUPE
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Credential | MSN
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Telephone | 616-649-3485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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