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General NPI Number Information
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NPI Number | 1871162495
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Entity Type | Organization
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Legal Business Name | DUCRE CARE
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Dates
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Enumeration Date | 06/18/2021
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 1818 CHELAN ST
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City | FLINT
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State | MI
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Zip | 48503-4308
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Country | US
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Telephone | 810-293-1570
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Fax |
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Provider Business Mailing Address
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Address Line | 1818 CHELAN ST
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City | FLINT
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State | MI
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Zip | 48503-4308
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Country | US
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Telephone | 810-293-1570
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Fax |
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Authorized Official
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Title or Position | ORGANIZER
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Name | MR. MICHAEL DUCRE I
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Credential |
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Telephone | 819-293-1570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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