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General NPI Number Information
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NPI Number | 1649643792
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Entity Type | Organization
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Legal Business Name | CAREHERE MANAGEMENT, PLLC
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 150 KENDALL ST S
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City | BATTLE CREEK
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State | MI
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Zip | 49037-8471
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Country | US
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Telephone | 269-441-4141
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Fax | 269-441-4142
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Provider Business Mailing Address
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Address Line | 150 KENDALL ST S
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City | BATTLE CREEK
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State | MI
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Zip | 49037-8471
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Country | US
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Telephone | 269-441-4141
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Fax | 269-441-4142
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERNIE CLEVENGER
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Credential |
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Telephone | 269-441-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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