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General NPI Number Information
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NPI Number | 1396199386
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Entity Type | Organization
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Legal Business Name | CHI POWER X2 CONSULTING, LLC
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Dates
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Enumeration Date | 04/16/2016
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Last Update Date | 04/16/2016
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Provider Practice Location Address
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Address Line | 15 WASHINGTON ST SUITE 3
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City | MONROE
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State | MI
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Zip | 48161-2267
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Country | US
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Telephone | 734-790-8063
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Fax |
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Provider Business Mailing Address
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Address Line | 15 WASHINGTON ST SUITE 3
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City | MONROE
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State | MI
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Zip | 48161-2267
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Country | US
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Telephone | 734-790-8063
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VALERIE KILEY
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Credential | OTR
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Telephone | 734-790-8063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 5201004797
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License Number State | MI
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