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General NPI Number Information
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NPI Number | 1669244711
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Entity Type | Organization
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Legal Business Name | RELIANCE MANAGEMENT GROUP
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 1182 W EDGEWOOD BLVD
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City | LANSING
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State | MI
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Zip | 48911-7506
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Country | US
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Telephone | 517-885-8987
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Fax |
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Provider Business Mailing Address
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Address Line | 1630 W KALAMAZOO ST
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City | LANSING
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State | MI
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Zip | 48915-1140
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Country | US
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Telephone | 517-377-6844
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN MCKISSIC
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Credential | HOME HEALTH AIDE
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Telephone | 517-377-6844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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