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General NPI Number Information
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NPI Number | 1245531870
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Entity Type | Organization
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Legal Business Name | EVENTS EXTRAORDINARE
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Dates
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Enumeration Date | 11/12/2010
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 16000 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48154-3359
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Country | US
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Telephone | 734-524-0378
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Fax | 734-524-0379
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Provider Business Mailing Address
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Address Line | 17527 DEERING ST
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City | LIVONIA
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State | MI
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Zip | 48152-3769
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Country | US
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Telephone | 734-855-4451
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Fax | 734-855-4452
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. CYNTHIA ANN SCAGLIONE
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Credential |
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Telephone | 734-812-9302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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