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General NPI Number Information
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NPI Number | 1275778458
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Entity Type | Organization
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Legal Business Name | ARISE RESOURCES INC
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Dates
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Enumeration Date | 12/02/2008
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 11000 W MCNICHOLS RD
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City | DETROIT
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State | MI
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Zip | 48221-2357
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Country | US
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Telephone | 313-820-3699
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Fax |
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Provider Business Mailing Address
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Address Line | 131 ARLINGTON ST
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City | INKSTER
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State | MI
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Zip | 48141-1246
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Country | US
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Telephone | 313-820-3699
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / BUSINESS ADMINISTRATOR
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Name | MRS. PHYLLIS TRICIA LUCY
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Credential | BS
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Telephone | 313-730-6765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number | 70057N
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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