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General NPI Number Information
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NPI Number | 1932292166
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Entity Type | Organization
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Legal Business Name | CMG PARTNERS, PC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 5701 BOW POINTE DR SUITE 100
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City | CLARKSTON
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State | MI
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Zip | 48346-3198
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Country | US
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Telephone | 248-625-2621
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Fax | 248-625-2622
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Provider Business Mailing Address
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Address Line | 5701 BOW POINTE DR SUITE 100
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City | CLARKSTON
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State | MI
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Zip | 48346-3198
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Country | US
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Telephone | 248-625-2621
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Fax | 248-625-8938
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Authorized Official
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Title or Position | PRESIDENT/SECRETARY
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Name | DR. RENNY ABRAHAM
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Credential | MD
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Telephone | 248-625-2621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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