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General NPI Number Information
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NPI Number | 1619770807
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Entity Type | Organization
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Legal Business Name | GUIDED CARE CENTER
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 28763 NORTHWESTERN HWY
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1842
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Country | US
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Telephone | 313-815-4196
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Fax |
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Provider Business Mailing Address
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Address Line | 28763 NORTHWESTERN HWY
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1842
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Country | US
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Telephone | 248-629-0745
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MRS. PAULINE ROBINSON
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Credential | NP
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Telephone | 248-802-1219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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