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General NPI Number Information
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NPI Number | 1457774085
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Entity Type | Organization
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Legal Business Name | COMMUNITY NETWORK SERVICES
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Dates
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Enumeration Date | 02/03/2014
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 279 SUMMIT DR
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City | WATERFORD
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State | MI
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Zip | 48328-3364
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Country | US
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Telephone | 248-745-4900
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Fax | 248-994-4625
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Provider Business Mailing Address
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Address Line | 279 SUMMIT DR
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City | WATERFORD
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State | MI
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Zip | 48328-3364
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Country | US
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Telephone | 248-745-4900
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Fax | 248-994-4625
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Authorized Official
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Title or Position | VICE PRESIDENT HUMAN RESOURCES
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Name | MR. MEDGAR SCOTT
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Credential |
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Telephone | 248-409-4162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 6802086836
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License Number State | MI
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