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General NPI Number Information
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NPI Number | 1184041519
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Entity Type | Organization
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Legal Business Name | LIFELONG ADVOCACY,INC
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Dates
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Enumeration Date | 03/24/2014
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 43970 N GRATIOT AVE
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City | CLINTON TWP
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State | MI
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Zip | 48036-1307
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Country | US
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Telephone | 586-846-2457
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Fax | 586-846-2460
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Provider Business Mailing Address
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Address Line | 43970 N GRATIOT AVE
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City | CLINTON TWP
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State | MI
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Zip | 48036-1307
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Country | US
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Telephone | 586-846-2457
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Fax | 586-846-2460
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KATHLEEN LENORE BIELINSKI
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Credential |
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Telephone | 586-846-2457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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