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General NPI Number Information
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NPI Number | 1306272356
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Entity Type | Organization
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Legal Business Name | EXHALATION INTEGRATIVE WELLNESS
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Dates
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Enumeration Date | 09/23/2013
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Last Update Date | 10/22/2013
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Provider Practice Location Address
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Address Line | 18930 GREENFIELD RD
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City | DETROIT
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State | MI
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Zip | 48235-2976
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Country | US
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Telephone | 313-744-2747
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Fax |
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Provider Business Mailing Address
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Address Line | 18930 GREENFIELD RD
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City | DETROIT
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State | MI
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Zip | 48235-2976
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Country | US
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Telephone | 313-744-2747
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CENTER SERVICES
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Name | KARLA K MITCHELL
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Credential |
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Telephone | 313-523-3823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301091817
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License Number State | MI
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Taxonomy #14
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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