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General NPI Number Information
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NPI Number | 1578902391
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Entity Type | Organization
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Legal Business Name | THE ARC WESTERN WAYNE COUNTY
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Dates
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Enumeration Date | 06/15/2013
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Last Update Date | 06/15/2013
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Provider Practice Location Address
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Address Line | 2257 S WAYNE RD
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City | WESTLAND
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State | MI
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Zip | 48186-5432
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Country | US
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Telephone | 734-729-9100
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Fax | 734-729-9695
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Provider Business Mailing Address
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Address Line | 2257 S WAYNE RD
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City | WESTLAND
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State | MI
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Zip | 48186-5432
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Country | US
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Telephone | 734-729-9100
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Fax | 734-729-9695
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHERYL POLITE
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Credential |
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Telephone | 734-729-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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