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General NPI Number Information
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NPI Number | 1194096578
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS ADULT DAY PROGRAM INC
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 15362 SORRENTO ST
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City | DETROIT
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State | MI
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Zip | 48227-4024
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Country | US
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Telephone | 313-862-1851
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Fax |
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Provider Business Mailing Address
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Address Line | 27753 W 12 MILE RD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-4207
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LESSIE SMITH
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Credential |
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Telephone | 313-862-1851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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