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General NPI Number Information
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NPI Number | 1851765374
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Entity Type | Organization
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Legal Business Name | ASCENSION MICHIGAN-CMG
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Dates
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Enumeration Date | 11/20/2015
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 43900 GARFIELD RD STE 222
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1137
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Country | US
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Telephone | 586-286-0050
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Fax | 586-286-0880
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Provider Business Mailing Address
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Address Line | PO BOX 17146
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City | BELFAST
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State | ME
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Zip | 04915-4066
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Country | US
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Telephone | 248-680-8000
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Fax | 248-292-3852
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Authorized Official
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Title or Position | MANAGER
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Name | MS. RACHEL R PERRY
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Credential |
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Telephone | 248-221-1918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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