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General NPI Number Information
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NPI Number | 1740099464
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Entity Type | Organization
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Legal Business Name | OAKLAND INTEGRATED HEALTHCARE NETWORK
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 48980 WOODWARD AVE
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City | PONTIAC
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State | MI
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Zip | 48342-5034
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Country | US
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Telephone | 248-724-7400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 430150
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City | PONTIAC
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State | MI
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Zip | 48343-0150
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEBBIE BRINSON
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Credential |
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Telephone | 517-281-7149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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