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General NPI Number Information
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NPI Number | 1710049374
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Entity Type | Organization
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Legal Business Name | HEGIRA HEALTH, INC.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 8623 N WAYNE RD STE 310
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City | WESTLAND
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State | MI
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Zip | 48185-1137
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Country | US
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Telephone | 734-458-4601
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Fax | 734-458-4614
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Provider Business Mailing Address
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Address Line | 37450 SCHOOLCRAFT RD STE 110
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City | LIVONIA
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State | MI
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Zip | 48150-1000
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Country | US
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Telephone | 734-458-4601
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Fax | 734-458-4611
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. CAROL L ZUNIGA
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Credential |
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Telephone | 734-499-1513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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