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General NPI Number Information
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NPI Number | 1619163763
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Entity Type | Organization
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Legal Business Name | ABILITIES PATHWAYS, INC.
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Dates
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Enumeration Date | 09/22/2007
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 29512 7 MILE RD
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City | LIVONIA
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State | MI
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Zip | 48152-1988
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Country | US
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Telephone | 248-427-9525
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Fax | 248-427-9528
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Provider Business Mailing Address
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Address Line | 29512 7 MILE RD
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City | LIVONIA
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State | MI
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Zip | 48152-1988
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Country | US
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Telephone | 248-427-9525
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Fax | 248-427-9528
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Authorized Official
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Title or Position | OWNER
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Name | MR. VERNELL SHELTON
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Credential |
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Telephone | 347-247-8199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201000319
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501009704
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License Number State | MI
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