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General NPI Number Information
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NPI Number | 1528505914
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Entity Type | Organization
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Legal Business Name | PROGRESSIONS, LLC
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Dates
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Enumeration Date | 01/24/2017
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 51145 NICOLETTE DR
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City | CHESTERFIELD
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State | MI
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Zip | 48047-4585
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Country | US
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Telephone | 586-228-9991
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Fax | 586-228-9902
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Provider Business Mailing Address
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Address Line | 51145 NICOLETTE DR
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City | CHESTERFIELD
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State | MI
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Zip | 48047-4585
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Country | US
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Telephone | 586-228-9991
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Fax | 586-228-9902
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. PAUL STANTON SEMIAN
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Credential |
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Telephone | 586-212-5446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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