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General NPI Number Information
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NPI Number | 1346898640
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Entity Type | Organization
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Legal Business Name | UNITED HEALTH AND WELLNESS INC.
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 23800 WEST TEN MILE RD. ROOM 105
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3199
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Country | US
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Telephone | 248-796-1699
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3406
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City | FARMINGTON HILLS
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State | MI
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Zip | 48333-3406
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Country | US
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Telephone | 248-796-1699
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Fax |
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Authorized Official
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Title or Position | COORDINATOR
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Name | LLOYD CHEATHAM
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Credential |
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Telephone | 248-796-1699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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