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General NPI Number Information
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NPI Number | 1376613620
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Entity Type | Organization
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Legal Business Name | NORTHLAND FAMILY PLANNING CENTER, INC.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 24450 EVERGREEN RD SUITE 220
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5518
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Country | US
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Telephone | 248-559-0590
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Fax | 248-559-4705
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Provider Business Mailing Address
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Address Line | 24450 EVERGREEN RD SUITE 220
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City | SOUTHFIELD
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State | MI
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Zip | 48075-5518
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Country | US
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Telephone | 248-559-0590
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Fax | 248-559-4705
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RENEE CHELIAN
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Credential |
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Telephone | 248-559-0590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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