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General NPI Number Information
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NPI Number | 1649134271
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Entity Type | Organization
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Legal Business Name | EMERGING MINDS CHILDREN'S CENTER
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 22371 W VILLAGE DR
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City | DEARBORN
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State | MI
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Zip | 48124-2236
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Country | US
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Telephone | 313-800-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 22371 W VILLAGE DR
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City | DEARBORN
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State | MI
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Zip | 48124-2236
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ORGANIZER
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Name | AMANDA KAROUT
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Credential | BCBA
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Telephone | 313-800-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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