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General NPI Number Information
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NPI Number | 1750204178
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Entity Type | Organization
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Legal Business Name | INREACH PRIMARY CARE PLLC
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 2300 GENOA BUSINESS PARK DR STE 190
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City | BRIGHTON
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State | MI
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Zip | 48114-7374
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Country | US
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Telephone | 810-631-3383
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 GENOA BUSINESS PARK DR STE 190
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City | BRIGHTON
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State | MI
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Zip | 48114-7374
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Country | US
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Telephone | 810-631-3383
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Fax |
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Authorized Official
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Title or Position | CAO
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Name | LAURA HUCK
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Credential |
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Telephone | 517-304-7176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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