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General NPI Number Information
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NPI Number | 1174412043
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Entity Type | Organization
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Legal Business Name | EMOTIONAL CARE GROUP
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 759 SHOREHAM RD
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City | GROSSE POINTE WOODS
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State | MI
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Zip | 48236-2443
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Country | US
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Telephone | 313-475-2754
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Fax |
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Provider Business Mailing Address
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Address Line | 759 SHOREHAM RD
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City | GROSSE POINTE WOODS
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State | MI
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Zip | 48236-2443
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Country | US
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Telephone | 313-475-2754
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JERMONE ANTHONY
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Credential | OWNER
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Telephone | 239-244-1677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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