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General NPI Number Information
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NPI Number | 1376475814
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Entity Type | Organization
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Legal Business Name | ALL SMILES LLC
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 166 LARCK CREST LN
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City | WINSTON SALEM
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State | NC
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Zip | 27107-8205
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Country | US
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Telephone | 313-979-5537
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Fax |
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Provider Business Mailing Address
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Address Line | 13006 HERITAGE S
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City | WARREN
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State | MI
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Zip | 48089-2089
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MONIKE THOMAS
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Credential |
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Telephone | 313-979-5537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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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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