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General NPI Number Information
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NPI Number | 1851280986
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Entity Type | Organization
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Legal Business Name | SPARROW COMMUNITY CARE
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 245 S 2ND ST STE 130
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City | CARSON CITY
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State | MI
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Zip | 48811-9650
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Country | US
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Telephone | 517-364-2115
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Fax | 517-371-1227
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Provider Business Mailing Address
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Address Line | 3301 E MICHIGAN AVE STE A
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City | LANSING
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State | MI
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Zip | 48912-4641
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Country | US
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Telephone | 517-364-2115
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Fax | 517-364-3906
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MICHAEL TOBIN
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Credential |
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Telephone | 517-364-8044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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