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General NPI Number Information
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NPI Number | 1659257574
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Entity Type | Organization
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Legal Business Name | CNS HEALTHCARE
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 2900 CONNER ST
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City | DETROIT
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State | MI
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Zip | 48215-2407
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Country | US
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Telephone | 248-745-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 24230 KARIM BLVD STE 100
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City | NOVI
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State | MI
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Zip | 48375-2960
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Country | US
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Telephone | 248-745-4900
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Fax | 248-745-4900
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Authorized Official
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Title or Position | DIRECTOR OF IT
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Name | KATHERINE GROVES
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Credential |
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Telephone | 248-202-4750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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