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General NPI Number Information
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NPI Number | 1184865776
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Entity Type | Organization
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Legal Business Name | STARFISH FAMILY SERVICES INC.
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Dates
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Enumeration Date | 03/12/2009
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 30000 HIVELEY ST
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City | INKSTER
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State | MI
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Zip | 48141-1089
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Country | US
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Telephone | 248-615-9730
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Fax | 248-615-1260
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Provider Business Mailing Address
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Address Line | 30000 HIVELEY ST
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City | INKSTER
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State | MI
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Zip | 48141-1089
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Country | US
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Telephone | 248-615-9730
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Fax | 248-615-1260
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Authorized Official
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Title or Position | CHEIF EXECUTIVE OFFICE
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Name | MRS. ANN KALASS
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Credential |
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Telephone | 248-615-9730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | MI
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