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General NPI Number Information
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NPI Number | 1831501063
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Entity Type | Organization
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Legal Business Name | THE M & M GROUP OF MICHIGAN
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 32003 PLYMOUTH RD
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City | LIVONIA
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State | MI
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Zip | 48150-1927
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Country | US
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Telephone | 248-599-2410
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Fax | 248-247-1025
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Provider Business Mailing Address
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Address Line | 32003 PLYMOUTH RD
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City | LIVONIA
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State | MI
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Zip | 48150-1927
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Country | US
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Telephone | 248-599-2410
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Fax | 248-247-1025
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL MALECKI
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Credential | RN
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Telephone | 248-599-2410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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