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General NPI Number Information
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NPI Number | 1124668124
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Entity Type | Organization
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Legal Business Name | BELLE VIE THERAPIES LLC
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 20816 E 11 MILE RD STE 105
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48081-1578
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Country | US
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Telephone | 313-444-3515
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Fax | 313-556-1373
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Provider Business Mailing Address
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Address Line | 1547 SHORE CLUB DR
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-1574
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Country | US
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Telephone | 313-444-3515
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Fax | 313-556-1373
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Authorized Official
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Title or Position | OWNER
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Name | SARA PRIGORAC
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Credential | MS, OTRL, CATP
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Telephone | 810-623-0947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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