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General NPI Number Information
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NPI Number | 1679629992
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Entity Type | Organization
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Legal Business Name | SUPERIOR SUPPORT LLC
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 30643 HIDDEN PINES LN
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City | ROSEVILLE
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State | MI
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Zip | 48066-7302
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Country | US
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Telephone | 586-772-3523
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Fax |
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Provider Business Mailing Address
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Address Line | 30643 HIDDEN PINES LN
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City | ROSEVILLE
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State | MI
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Zip | 48066-7302
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Country | US
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Telephone | 586-772-3523
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MS. CYNTHIA ANN KONAL
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Credential | LMSW
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Telephone | 586-772-3523
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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 | B2110Y
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License Number State | MI
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