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General NPI Number Information
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NPI Number | 1306944848
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Entity Type | Organization
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Legal Business Name | THE INFORMATION CENTER, INC., THE FAMILY RESOURCE PLACE
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 20400 SUPERIOR RD THE INFORMATION CENTER
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City | TAYLOR
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State | MI
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Zip | 48180-5362
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Country | US
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Telephone | 734-282-7171
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Fax | 734-282-7105
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Provider Business Mailing Address
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Address Line | 20400 SUPERIOR RD THE INFORMATION CENTER
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City | TAYLOR
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State | MI
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Zip | 48180-5362
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Country | US
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Telephone | 734-282-7171
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Fax | 734-282-7105
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | EDWARD D'ANGELO
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Credential | LMSW
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Telephone | 734-287-7888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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