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General NPI Number Information
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NPI Number | 1447612304
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Entity Type | Organization
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Legal Business Name | G&R CASE MANAGEMENT SERVICES, LLC
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 03/22/2016
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Provider Practice Location Address
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Address Line | 15900 W 10 MILE RD SUITE 105
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2036
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Country | US
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Telephone | 248-250-0443
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Fax | 248-327-6968
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Provider Business Mailing Address
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Address Line | PO BOX 20886
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City | FERNDALE
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State | MI
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Zip | 48220-0886
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Country | US
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Telephone | 248-250-0443
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Fax | 248-327-6968
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. GLORIA HAMILTON
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Credential |
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Telephone | 248-635-7839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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