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General NPI Number Information
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NPI Number | 1639619570
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Entity Type | Organization
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Legal Business Name | FOLI HEALTH GROUP INC
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Dates
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Enumeration Date | 02/25/2017
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Last Update Date | 02/25/2017
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Provider Practice Location Address
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Address Line | 27370 SELKIRK ST
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City | SOUTHFIELD
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State | MI
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Zip | 48076-3623
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Country | US
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Telephone | 313-215-5944
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Fax |
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Provider Business Mailing Address
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Address Line | 27370 SELKIRK ST
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City | SOUTHFIELD
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State | MI
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Zip | 48076-3623
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Country | US
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Telephone | 313-215-5944
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MATTHEW D JONES
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Credential |
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Telephone | 313-215-5944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 72086H
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License Number State | MI
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