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General NPI Number Information
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NPI Number | 1386853208
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Entity Type | Organization
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Legal Business Name | THE GUIDENCE CENTER
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 35330 VAN BORN RD APT 201
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City | WAYNE
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State | MI
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Zip | 48184-3315
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Country | US
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Telephone | 313-585-2389
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Fax |
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Provider Business Mailing Address
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Address Line | 35330 VAN BORN RD APT 201
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City | WAYNE
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State | MI
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Zip | 48184-3315
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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 | PERSONAL ASSISTANT
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Name | HEATHER MARIE LABATE
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Credential |
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Telephone | 313-585-2389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State | MI
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