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General NPI Number Information
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NPI Number | 1760014633
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Entity Type | Organization
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Legal Business Name | MSU HEALTH CARE INC.
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Dates
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Enumeration Date | 02/10/2020
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 9520 FOREST RD
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City | LANSING
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State | MI
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Zip | 48910-2819
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Country | US
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Telephone | 517-975-9500
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Fax | 517-975-9520
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Provider Business Mailing Address
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Address Line | 804 SERVICE RD STE A109B
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City | EAST LANSING
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State | MI
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Zip | 48824-7015
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Country | US
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Telephone | 517-975-9500
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Fax | 517-975-9520
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Authorized Official
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Title or Position | LEAD ENROLLMENT COORDINATOR
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Name | RELANDA PRICE
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Credential |
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Telephone | 517-884-2976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology 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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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