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General NPI Number Information
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NPI Number | 1083055156
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Entity Type | Organization
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Legal Business Name | COMMUNITY NETWORK SERVICES FARMINGTON HILLS
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 38855 HILLS TECH DR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48331-3421
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Country | US
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Telephone | 248-994-8001
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Fax |
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Provider Business Mailing Address
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Address Line | 38855 HILLS TECH DR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48331-3421
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Country | US
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Telephone | 248-994-8001
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Fax |
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Authorized Official
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Title or Position | CASEMANAGER
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Name | MS. TARYA JEAN COTTINGHAM
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Credential | LBSW
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Telephone | 248-871-1467
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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 | 6802076608
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 6802076608
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License Number State | MI
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