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General NPI Number Information
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NPI Number | 1003151374
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Entity Type | Organization
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Legal Business Name | DETROIT EMPLOYMENT NETWORK
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 701 WOODWARD HTS STE 130
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City | FERNDALE
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State | MI
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Zip | 48220-1430
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Country | US
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Telephone | 313-350-0278
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Fax | 800-249-5135
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Provider Business Mailing Address
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Address Line | 701 WOODWARD HTS STE 130
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City | FERNDALE
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State | MI
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Zip | 48220-1430
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Country | US
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Telephone | 313-350-0278
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Fax | 800-249-5135
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. DIAMOND JENKINS
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Credential |
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Telephone | 313-350-0278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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