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General NPI Number Information
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NPI Number | 1134361173
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Entity Type | Organization
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Legal Business Name | HARRINGTON LOFFREDO PC
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 13854 LAKESIDE CIR STE 239
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-1316
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Country | US
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Telephone | 586-819-0729
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Fax | 586-819-0729
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Provider Business Mailing Address
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Address Line | 502 PEMBERTON RD
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City | GROSSE POINTE PARK
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State | MI
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Zip | 48230
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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 | DIRECTOR
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Name | MR. JAMES LOFFREDO
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Credential |
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Telephone | 313-515-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401010037
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801064877
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License Number State | MI
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