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General NPI Number Information
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NPI Number | 1164961090
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Entity Type | Organization
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Legal Business Name | CONTINUITY CASE MANAGEMENT SERVICES
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Dates
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Enumeration Date | 02/12/2017
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Last Update Date | 02/12/2017
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Provider Practice Location Address
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Address Line | 24801 5 MILE RD 12
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City | REDFORD
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State | MI
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Zip | 48239-3655
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Country | US
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Telephone | 866-550-6629
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Fax | 248-607-6757
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Provider Business Mailing Address
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Address Line | 20615 FENKELL ST 231052
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City | DETROIT
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State | MI
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Zip | 48223-3778
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Country | US
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Telephone | 866-550-6629
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Fax | 248-607-6756
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Authorized Official
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Title or Position | DIRECTOR OF PROFESSIONAL SERVICES
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Name | MS. SUPRENIA THOMAS
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Credential |
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Telephone | 866-550-6629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 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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