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General NPI Number Information
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NPI Number | 1922286236
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Entity Type | Organization
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Legal Business Name | MCLAREN FLINT
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Dates
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Enumeration Date | 02/08/2008
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 4448 OAKBRIDGE DR
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City | FLINT
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State | MI
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Zip | 48532
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Country | US
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Telephone | 810-342-5333
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Fax |
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Provider Business Mailing Address
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Address Line | 401 S BALLENGER HWY
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City | FLINT
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State | MI
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Zip | 48532-3638
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Country | US
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Telephone | 810-342-1000
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Fax | 810-342-1590
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Authorized Official
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Title or Position | CFO
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Name | FRED KORTE
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Credential |
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Telephone | 810-342-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 103T00000X
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Taxonomy Name | Psychologist
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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