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General NPI Number Information
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NPI Number | 1639074826
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Entity Type | Organization
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Legal Business Name | NURU LLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 1445 RIDGEWOOD DR
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City | JENISON
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State | MI
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Zip | 49428-7922
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Country | US
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Telephone | 616-516-3652
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Fax |
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Provider Business Mailing Address
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Address Line | 4620 RESTMOR ST SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-2235
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | BEATA MPESHA
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Credential |
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Telephone | 616-856-0163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State | NULL
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