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General NPI Number Information
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NPI Number | 1356880157
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Entity Type | Organization
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Legal Business Name | RESOLUTION OUTREACH COUNSELING LLC
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 18320 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48152-5007
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Country | US
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Telephone | 734-743-3010
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Fax |
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Provider Business Mailing Address
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Address Line | 18320 MIDDLEBELT RD
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City | LIVONIA
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State | MI
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Zip | 48152-5007
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Country | US
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Telephone | 734-743-3010
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLYN LIDDELL
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Credential | LMSW
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Telephone | 734-837-5337
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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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Taxonomy #2
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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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