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General NPI Number Information
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NPI Number | 1255925657
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Entity Type | Organization
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Legal Business Name | PRIORITY ONE HEALTH MANAGEMENT
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 05/31/2021
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Provider Practice Location Address
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Address Line | 9424 NEWBURGH RD
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City | LIVONIA
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State | MI
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Zip | 48150-3429
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Country | US
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Telephone | 734-744-4597
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Fax | 734-855-4408
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Provider Business Mailing Address
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Address Line | 9424 NEWBURGH RD
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City | LIVONIA
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State | MI
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Zip | 48150-3429
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Country | US
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Telephone | 734-855-4408
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Fax | 734-744-4597
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MAURICKA STRICKLAND
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Credential |
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Telephone | 734-855-4408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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