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General NPI Number Information
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NPI Number | 1336412220
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Entity Type | Organization
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Legal Business Name | BABIES R BLESSED
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 23801 GRATIOT AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-1666
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Country | US
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Telephone | 586-563-5294
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Fax |
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Provider Business Mailing Address
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Address Line | 30217 UTICA RD 220
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City | ROSEVILLE
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State | MI
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Zip | 48066-1527
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Country | US
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Telephone | 586-563-5294
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REGINA PETERS
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Credential |
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Telephone | 586-563-5294
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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 | MI
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