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General NPI Number Information
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NPI Number | 1669046835
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Entity Type | Organization
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Legal Business Name | STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 2950 MONROE AVE NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49505-3300
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Country | US
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Telephone | 616-364-5344
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 MONROE AVE NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49505-3300
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Country | US
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Telephone | 616-364-5344
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Fax |
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Authorized Official
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Title or Position | VP BUS SVCS
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Name | MELISSA VELIE
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Credential |
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Telephone | 517-275-1183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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