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General NPI Number Information
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NPI Number | 1750682951
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Entity Type | Organization
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Legal Business Name | GREATER BLESSINGS LLC
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 11/18/2010
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Provider Practice Location Address
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Address Line | 15508 COYLE ST
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City | DETROIT
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State | MI
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Zip | 48227-2600
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Country | US
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Telephone | 313-397-7442
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Fax |
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Provider Business Mailing Address
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Address Line | 15508 COYLE ST
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City | DETROIT
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State | MI
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Zip | 48227-2600
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Country | US
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Telephone | 313-397-7442
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. DONNA MARIE JONES
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Credential |
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Telephone | 313-397-7442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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