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General NPI Number Information
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NPI Number | 1407668387
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Entity Type | Organization
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Legal Business Name | N OF 1 LIFE LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 40820 7 MILE RD STE C
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City | NORTHVILLE
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State | MI
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Zip | 48167-2642
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Country | US
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Telephone | 248-872-3924
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Fax |
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Provider Business Mailing Address
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Address Line | 20894 BAROLA DR
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City | NORTHVILLE
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State | MI
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Zip | 48167-9380
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Country | US
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Telephone | 248-872-3924
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Fax | 248-308-2017
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN KULISH
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Credential | MD
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Telephone | 248-872-3924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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