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General NPI Number Information
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NPI Number | 1134898372
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Entity Type | Organization
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Legal Business Name | DIRECT CARE TRAINING & RESOURCE CENTER INC
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Dates
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Enumeration Date | 09/10/2021
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 39111 6 MILE ROAD
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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 | 866-982-4449
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Fax | 800-305-6764
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Provider Business Mailing Address
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Address Line | 36500 FORD RD # 367
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City | WESTLAND
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State | MI
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Zip | 48185-3769
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Country | US
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Telephone | 866-982-4449
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Fax | 800-305-6764
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Authorized Official
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Title or Position | CEO
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Name | MR. BRUCE W MCCOLLUM
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Credential |
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Telephone | 866-982-4449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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