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General NPI Number Information
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NPI Number | 1376803049
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Entity Type | Organization
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Legal Business Name | YOUNG FAMILIES PEDIATRIC SERVICES PLC
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 36712 RICHLAND ST
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City | LIVONIA
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State | MI
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Zip | 48150-2510
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Country | US
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Telephone | 734-634-3455
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 51098
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City | LIVONIA
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State | MI
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Zip | 48151-5098
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Country | US
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Telephone | 734-634-3455
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | MRS. EMILY M BEEMAN
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Credential | OTR
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Telephone | 734-634-3455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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