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General NPI Number Information
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NPI Number | 1497105225
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Entity Type | Organization
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Legal Business Name | ANEMANUHEIR, LLC.
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 445 KING ST
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City | DETROIT
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State | MI
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Zip | 48202-2130
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Country | US
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Telephone | 313-876-8511
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Fax |
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Provider Business Mailing Address
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Address Line | 445 KING ST
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City | DETROIT
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State | MI
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Zip | 48202-2130
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Country | US
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Telephone | 313-876-8511
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. TONYA Y MORRIS
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Credential | REGISTERED NURSE
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Telephone | 313-876-8511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | MI
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