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General NPI Number Information
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NPI Number | 1720369051
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Entity Type | Organization
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Legal Business Name | MME ENTERPRISES INC
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 08/03/2012
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Provider Practice Location Address
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Address Line | 3771 E 10 MILE RD SUITE C
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City | WARREN
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State | MI
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Zip | 48091
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Country | US
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Telephone | 586-276-7377
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Fax | 586-438-3420
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Provider Business Mailing Address
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Address Line | 3771 E 10 MILE RD
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City | WARREN
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State | MI
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Zip | 48091
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Country | US
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Telephone | 586-276-7377
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Fax | 586-438-3420
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Authorized Official
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Title or Position | PRESIDENT
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Name | NOAH CADLE
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Credential |
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Telephone | 586-276-7377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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