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General NPI Number Information
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NPI Number | 1023445665
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Entity Type | Organization
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Legal Business Name | EDUCATION WORKS, INC.
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Dates
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Enumeration Date | 09/27/2013
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 13107 WHITE LAKE RD
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City | FENTON
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State | MI
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Zip | 48430-8421
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Country | US
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Telephone | 586-242-6324
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1185
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City | FENTON
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State | MI
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Zip | 48430
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Country | US
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Telephone | 586-242-6324
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. PATRICIA ELAINE CHRISTIAN
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Credential | BS, MA, QMRP
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Telephone | 586-242-6324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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