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General NPI Number Information
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NPI Number | 1548491988
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC HEALING LLC
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Dates
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Enumeration Date | 08/03/2009
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 1448 S MAIN ST
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City | ROYAL OAK
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State | MI
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Zip | 48067-3249
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Country | US
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Telephone | 248-321-3441
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Fax | 248-546-6037
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Provider Business Mailing Address
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Address Line | PO BOX 802
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City | ROYAL OAK
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State | MI
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Zip | 48068-0802
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Country | US
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Telephone | 248-321-3441
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Fax | 248-546-6037
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN EMMETT
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Credential |
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Telephone | 248-321-3441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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