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General NPI Number Information
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NPI Number | 1699378547
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Entity Type | Organization
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Legal Business Name | GUARDIAN & ASSOCIATES INC
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 21751 COOLIDGE HWY
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City | OAK PARK
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State | MI
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Zip | 48237-3108
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Country | US
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Telephone | 313-854-3187
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Fax | 313-286-0919
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Provider Business Mailing Address
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Address Line | 14200 W 8 MILE RD UNIT 48531
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City | OAK PARK
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State | MI
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Zip | 48237-7804
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Country | US
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Telephone | 313-854-3187
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Fax | 313-286-0919
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NANCY J WILLIAMS
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Credential |
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Telephone | 313-854-3187
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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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