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General NPI Number Information
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NPI Number | 1700055605
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Entity Type | Organization
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Legal Business Name | DISABILITY NETWORK EASTERN MICHIGAN
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 1709 JOHN R
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City | TROY
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State | MI
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Zip | 48083-2512
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Country | US
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Telephone | 586-268-4160
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Fax | 586-285-9942
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Provider Business Mailing Address
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Address Line | 1709 JOHN R
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City | TROY
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State | MI
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Zip | 48083-2512
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Country | US
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Telephone | 586-268-4160
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Fax | 586-285-9942
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Authorized Official
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Title or Position | CEO
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Name | KELLY WINN
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Credential |
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Telephone | 586-268-4160
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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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