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General NPI Number Information
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NPI Number | 1518377886
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Entity Type | Organization
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Legal Business Name | MATERNAL BEGINNINGS INC
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 18301 E 8 MILE RD STE 109
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City | EASTPOINTE
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State | MI
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Zip | 48021-3226
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Country | US
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Telephone | 313-633-5644
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Fax | 586-779-8511
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Provider Business Mailing Address
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Address Line | 18301 E 8 MILE RD STE 109
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City | EASTPOINTE
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State | MI
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Zip | 48021-3226
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Country | US
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Telephone | 313-633-5644
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Fax | 586-779-8511
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SHONNISE WOODS
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Credential |
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Telephone | 313-633-5644
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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