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General NPI Number Information
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NPI Number | 1750826236
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Entity Type | Organization
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Legal Business Name | MAINSTREAM MEDIA GROUP
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 5000 TOWN CTR 2405
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City | SOUTHFIELD
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State | MI
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Zip | 48075-1110
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Country | US
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Telephone | 248-943-4107
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 TOWN CTR 2405
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City | SOUTHFIELD
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State | MI
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Zip | 48075-1110
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | GABRIELLE THRASHER
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Credential |
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Telephone | 248-943-4107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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