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General NPI Number Information
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NPI Number | 1649395849
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 216 W EUCLID AVE
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City | JACKSON
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State | MI
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Zip | 49203-4102
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Country | US
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Telephone | 517-768-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 306 W MICHIGAN AVE
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City | JACKSON
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State | MI
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Zip | 49201-2121
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Country | US
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Telephone | 517-768-9200
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL E. JOHNSON
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Credential |
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Telephone | 517-768-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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