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General NPI Number Information
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NPI Number | 1437420189
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Entity Type | Organization
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Legal Business Name | JZ CHATS HOME HEATH SERVICES OF MICHIGAN
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 25800 NORTHWESTERN HWY STE 150
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City | SOUTHFIELD
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State | MI
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Zip | 48075-8403
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Country | US
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Telephone | 248-594-7722
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Fax |
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Provider Business Mailing Address
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Address Line | 25800 NORTHWESTERN HWY STE 150
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City | SOUTHFIELD
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State | MI
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Zip | 48075-8403
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Country | US
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Telephone | 248-594-7722
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHERYL MCNEAL
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Credential |
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Telephone | 248-594-7722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number | 3320150
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License Number State | MI
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