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General NPI Number Information
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NPI Number | 1578344297
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Entity Type | Organization
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Legal Business Name | PERSEVERE ALLIED HEALTH INSTITUTE, LLC.
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 9357 GENERAL DR STE 115
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City | PLYMOUTH
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State | MI
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Zip | 48170-4666
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Country | US
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Telephone | 313-473-0434
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Fax |
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Provider Business Mailing Address
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Address Line | 9357 GENERAL DR STE 115
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City | PLYMOUTH
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State | MI
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Zip | 48170-4666
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Country | US
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Telephone | 313-473-0434
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Fax |
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Authorized Official
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Title or Position | LPN, COO
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Name | VERONICA NEWMAN
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Credential | LPN, COO
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Telephone | 313-473-0434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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