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General NPI Number Information
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NPI Number | 1164855474
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Entity Type | Organization
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Legal Business Name | NPAC HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/11/2013
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 31705 PLYMOUTH RD
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City | LIVONIA
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State | MI
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Zip | 48150-1905
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Country | US
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Telephone | 734-744-9544
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Fax | 734-744-9523
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Provider Business Mailing Address
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Address Line | 31705 PLYMOUTH RD
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City | LIVONIA
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State | MI
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Zip | 48150-1905
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Country | US
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Telephone | 347-744-9544
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Fax |
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Authorized Official
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Title or Position | CEO, OWNER
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Name | DR. DARCELLE CARSON
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Credential | DNP, NP-C
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Telephone | 734-744-9544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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