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General NPI Number Information
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NPI Number | 1093230674
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Entity Type | Organization
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Legal Business Name | SELF-DIRECTED BUDGET SERVICES
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 20276 MIDDLEBELT RD SUITE 1
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City | LIVONIA
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State | MI
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Zip | 48152
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Country | US
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Telephone | 734-338-5853
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Fax |
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Provider Business Mailing Address
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Address Line | 20276 MIDDLEBELT RD STE 1
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City | LIVONIA
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State | MI
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Zip | 48152-2054
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Country | US
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Telephone | 734-338-5853
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JANNICE CRAWFORD
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Credential |
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Telephone | 734-338-5853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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