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General NPI Number Information
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NPI Number | 1609094358
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Entity Type | Organization
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Legal Business Name | DEAF OPTIONS
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 220 BAGLEY, SUITE 600
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City | DETROIT
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State | MI
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Zip | 48226-1420
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Country | US
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Telephone | 313-961-8120
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Fax | 313-961-9168
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Provider Business Mailing Address
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Address Line | 220 BAGLEY, SUITE 600
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City | DETROIT
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State | MI
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Zip | 48226-1420
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Country | US
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Telephone | 313-961-8120
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Fax | 313-961-9168
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MRS. REICHELLE P. TUCKER
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Credential | M.A.
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Telephone | 313-961-8120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | MI
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