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General NPI Number Information
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NPI Number | 1093299711
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Entity Type | Organization
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Legal Business Name | LITTLE CHARMERS LLC
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 09/18/2018
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Provider Practice Location Address
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Address Line | 24100 SOUTHFIELD RD STE 110
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2850
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Country | US
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Telephone | 313-693-3502
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 MEADOWBROOK ST
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City | DETROIT
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State | MI
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Zip | 48214-3619
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Country | US
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Telephone | 313-693-3502
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Fax |
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Authorized Official
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Title or Position | MANAGER/BILLER
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Name | ZAHKIYA FINN
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Credential |
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Telephone | 313-693-3502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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