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General NPI Number Information
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NPI Number | 1346498623
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Entity Type | Organization
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Legal Business Name | RELATIONSHIP TIMES
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Dates
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Enumeration Date | 08/28/2008
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 5582 HOBNAIL CIR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-1628
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Country | US
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Telephone | 248-730-0602
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Fax |
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Provider Business Mailing Address
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Address Line | 5582 HOBNAIL CIR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-1628
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Country | US
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Telephone | 248-730-0602
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ROSEANESTA RODNEZ-SIMPSON
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Credential | LMSW
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Telephone | 248-730-0602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6801080159
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801080159
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License Number State | MI
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