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General NPI Number Information
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NPI Number | 1225498959
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Entity Type | Organization
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Legal Business Name | NOETIC, INC.
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 31693 8 MILE RD STE. 132
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City | LIVONIA
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State | MI
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Zip | 48152-4217
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Country | US
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Telephone | 313-312-0859
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Fax | 800-883-1794
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Provider Business Mailing Address
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Address Line | 31693 8 MILE RD STE. 132
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City | LIVONIA
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State | MI
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Zip | 48152-4217
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Country | US
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Telephone | 313-312-0859
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Fax | 800-883-1794
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | SYDNEY LIPSEY
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Credential | LMSW
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Telephone | 313-312-0859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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