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General NPI Number Information
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NPI Number | 1407606726
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Entity Type | Organization
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Legal Business Name | HEALING EVERYONE'S LOW POINTS
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 16474 COLLINSON AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-3024
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Country | US
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Telephone | 313-629-2130
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Fax |
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Provider Business Mailing Address
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Address Line | 16474 COLLINSON AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-3024
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Country | US
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Telephone | 313-629-2130
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STACY R THOMAS
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Credential |
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Telephone | 586-563-3069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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