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General NPI Number Information
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NPI Number | 1164508909
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Entity Type | Organization
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Legal Business Name | IT WORKS INC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 47100 SCHOENHERR RD
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-4716
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Country | US
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Telephone | 586-685-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 TOWN CTR SUITE 2001
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City | SOUTHFIELD
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State | MI
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Zip | 48075-1110
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Country | US
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Telephone | 248-352-0314
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES A KAMMERER
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Credential |
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Telephone | 248-352-0314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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