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General NPI Number Information
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NPI Number | 1144904806
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Entity Type | Individual
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Provider Name | PAIGE CASAGRANDE
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Gender | Female
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Dates
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Enumeration Date | 06/13/2023
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 7439 MIDDLEBELT RD STE 3
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-4183
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Country | US
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Telephone | 248-609-3466
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Fax |
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Provider Business Mailing Address
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Address Line | 24901 NORTHWESTERN HWY STE 500
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2212
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Country | US
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Telephone | 248-258-0440
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 6851119489
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License Number State | MI
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