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General NPI Number Information
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NPI Number | 1487084133
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Entity Type | Organization
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Legal Business Name | HELPING IMPORTANT PEOPLE SUCEED
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Dates
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Enumeration Date | 11/16/2013
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Last Update Date | 11/16/2013
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Provider Practice Location Address
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Address Line | 547 SHELDON AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-5250
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Country | US
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Telephone | 616-773-9141
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Fax |
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Provider Business Mailing Address
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Address Line | 547 SHELDON AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-5250
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Country | US
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Telephone | 616-773-9141
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/SOCIAL WORKER
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Name | MS. MARY LEE HARDEN
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Credential | L.M.S.W.
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Telephone | 616-773-9141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 6801087491
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License Number State | MI
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