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General NPI Number Information
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NPI Number | 1760415426
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Entity Type | Organization
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Legal Business Name | J R HUMAN SERVICES INC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17330 NORTHLAND PARK CT
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4318
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Country | US
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Telephone | 248-552-7528
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 47725
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City | OAK PARK
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State | MI
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Zip | 48237-5425
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Country | US
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Telephone | 248-552-7528
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES REED
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Credential | MSW
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Telephone | 248-552-7528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801058607
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License Number State | MI
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