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General NPI Number Information
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NPI Number | 1003106253
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Entity Type | Organization
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Legal Business Name | ARAB AMERICAN AND CHALDEAN COUNCIL
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 34628 DEQUINDRE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-5233
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Country | US
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Telephone | 586-939-5016
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Fax | 586-593-5194
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Provider Business Mailing Address
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Address Line | 62 W 7 MILE RD
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City | DETROIT
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State | MI
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Zip | 48203-1967
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Country | US
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Telephone | 313-893-6172
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Fax | 313-893-0064
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. CARMEN SARAFA
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Credential | MA, LPC
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Telephone | 313-893-6172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | MI
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Taxonomy #3
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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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