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General NPI Number Information
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NPI Number | 1891652939
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Entity Type | Organization
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Legal Business Name | MILLINGTON FAMILY MEDICINE PLC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 9030 STATE RD
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City | MILLINGTON
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State | MI
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Zip | 48746-8902
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Country | US
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Telephone | 989-871-4501
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Fax | 989-871-5530
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Provider Business Mailing Address
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Address Line | 3495 S CENTER RD
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City | BURTON
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State | MI
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Zip | 48519-1455
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Country | US
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Telephone | 810-424-2136
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIE KENNY
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Credential | DO
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Telephone | 989-871-4501
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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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