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General NPI Number Information
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NPI Number | 1700340569
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Entity Type | Organization
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Legal Business Name | NUCH OF MICHIGAN, INC.
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 20782 THIRTEEN MILE ROAD
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City | ROSEVILLE
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State | MI
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Zip | 48375
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Country | US
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Telephone | 586-204-1994
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Fax | 615-309-8341
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Provider Business Mailing Address
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Address Line | 115 EASTPARK DR STE 300
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City | BRENTWOOD
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State | TN
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Zip | 37027-2311
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Country | US
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Telephone | 615-600-4074
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Fax | 615-309-8341
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Authorized Official
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Title or Position | CEO
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Name | ERIC ENDERLE
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Credential |
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Telephone | 615-600-4120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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