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General NPI Number Information
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NPI Number | 1225821531
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Entity Type | Individual
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Provider Name | ELLIS JONES
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Gender | Male
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 7238 W FORT ST
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City | DETROIT
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State | MI
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Zip | 48209-2919
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Country | US
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Telephone | 734-593-3194
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Fax |
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Provider Business Mailing Address
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Address Line | 15724 OAKBROOK ST
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City | ROMULUS
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State | MI
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Zip | 48174-3230
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Country | US
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Telephone | 313-585-9034
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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