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General NPI Number Information
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NPI Number | 1447124672
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Entity Type | Organization
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Legal Business Name | SOUTHWEST SOLUTIONS
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1700 WATERMAN ST
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City | DETROIT
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State | MI
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Zip | 48209-2022
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Country | US
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Telephone | 313-554-8861
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Fax |
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Provider Business Mailing Address
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Address Line | 39136 MURIEL DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-4942
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Country | US
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Telephone | 248-787-5409
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Fax |
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Authorized Official
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Title or Position | CASE MANAGER
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Name | ANA LORENA KOSOWSKI
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Credential |
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Telephone | 248-787-5409
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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