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General NPI Number Information
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NPI Number | 1750855086
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Entity Type | Organization
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Legal Business Name | 365 HEALTH CARE GROUP PLC
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Dates
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Enumeration Date | 01/21/2019
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 100 W BIG BEAVER RD STE 200
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City | TROY
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State | MI
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Zip | 48084-5283
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Country | US
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Telephone | 888-402-0202
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Fax | 888-860-2960
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Provider Business Mailing Address
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Address Line | PO BOX 7412468
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City | CHICAGO
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State | IL
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Zip | 60674-2468
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Country | US
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Telephone | 888-402-0202
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF RCM
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Name | KIMBERLY MILLER
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Credential |
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Telephone | 248-331-7908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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