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General NPI Number Information
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NPI Number | 1104761568
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Entity Type | Organization
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Legal Business Name | J 2 K CONSULTING FIRM
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 703 E 14 MILE RD
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City | BIRMINGHAM
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State | MI
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Zip | 48009-2093
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Country | US
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Telephone | 248-763-6690
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Fax |
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Provider Business Mailing Address
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Address Line | 703 E 14 MILE RD
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City | BIRMINGHAM
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State | MI
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Zip | 48009-2093
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | INDEPENDENT SUPPORTS COORDINATOR
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Name | VENUS KELSO
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Credential |
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Telephone | 248-763-6690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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