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General NPI Number Information
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NPI Number | 1033085998
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Entity Type | Organization
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Legal Business Name | CNS HEALTHCARE
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 11/01/2025
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Provider Practice Location Address
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Address Line | 11327 SUNSET BLVD
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City | PINCKNEY
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State | MI
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Zip | 48169-9008
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Country | US
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Telephone | 517-974-4437
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Fax |
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Provider Business Mailing Address
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Address Line | 24230 KARIM BLVD
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City | NOVI
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State | MI
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Zip | 48375-2960
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Country | US
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Telephone | 517-974-4437
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Fax |
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Authorized Official
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Title or Position | PEER SUPPORT SPECIALIST
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Name | MRS. VICKI QUINN
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Credential | NA
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Telephone | 517-974-4437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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