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General NPI Number Information
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NPI Number | 1912384728
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Entity Type | Organization
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Legal Business Name | MULTICARE HEALTH CENTER
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 05/31/2019
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Provider Practice Location Address
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Address Line | 28585 SCHOENHERR RD
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City | WARREN
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State | MI
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Zip | 48088
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Country | US
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Telephone | 586-393-5765
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Fax | 586-393-5790
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Provider Business Mailing Address
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Address Line | 28585 SCHOENHERR RD
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City | WARREN
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State | MI
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Zip | 48088
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Country | US
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Telephone | 586-393-5765
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Fax | 586-393-5790
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFERY ALLAN COOK
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Credential | D.C.
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Telephone | 586-393-5765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 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 #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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