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General NPI Number Information
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NPI Number | 1548400716
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Entity Type | Organization
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Legal Business Name | JAMES H DEARLOVE DCSW, PC
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 08/16/2013
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Provider Practice Location Address
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Address Line | 3456 PIERSON PLACE SUITE G
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City | FLUSHING
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State | MI
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Zip | 48433-2474
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Country | US
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Telephone | 810-732-8443
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Fax |
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Provider Business Mailing Address
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Address Line | 3456 PIERSON PLACE SUITE G
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City | FLUSHING
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State | MI
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Zip | 48433-2474
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Country | US
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Telephone | 810-732-8443
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES H DEARLOVE
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Credential | DCSW
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Telephone | 810-732-8443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801035591
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License Number State | MI
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