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General NPI Number Information
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NPI Number | 1699280586
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Entity Type | Organization
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Legal Business Name | REMEDI SENIORCARE OF MICHIGAN, LLC
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 04/05/2019
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Provider Practice Location Address
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Address Line | 14700 HELM CT
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City | PLYMOUTH
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State | MI
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Zip | 48170-6062
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Country | US
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Telephone | 833-754-1260
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Fax |
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Provider Business Mailing Address
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Address Line | 1 OLYMPIC PL STE 600
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City | BALTIMORE
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State | MD
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Zip | 21204-4110
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Country | US
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Telephone | 443-632-1208
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | MR. ALAN BRONFEIN
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Credential |
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Telephone | 443-927-8403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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