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General NPI Number Information
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NPI Number | 1639852056
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Entity Type | Organization
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Legal Business Name | NJOYSENIORSERVICES LLC
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Dates
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Enumeration Date | 08/11/2023
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 26620 BURG RD APT C219
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City | WARREN
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State | MI
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Zip | 48089-1000
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Country | US
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Telephone | 586-883-8122
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Fax |
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Provider Business Mailing Address
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Address Line | 26620 BURG RD APT C219
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City | WARREN
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State | MI
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Zip | 48089-1000
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Country | US
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Telephone | 586-883-8122
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CHARCIE BRAY-FRAZIER
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Credential | LPN
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Telephone | 313-815-5091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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