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General NPI Number Information
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NPI Number | 1982036828
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR POPULATION HEALTH
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 1151 TAYLOR ST 334C
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City | DETROIT
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State | MI
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Zip | 48202-1732
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Country | US
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Telephone | 313-324-9595
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Fax | 313-876-0309
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Provider Business Mailing Address
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Address Line | 1151 TAYLOR ST 334C
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City | DETROIT
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State | MI
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Zip | 48202-1732
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Country | US
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Telephone | 313-324-9595
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Fax | 313-876-0309
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. LAWRENCE T MATHEWS
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Credential |
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Telephone | 313-324-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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