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General NPI Number Information
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NPI Number | 1770294308
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Entity Type | Organization
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Legal Business Name | THE BRUTWOOD GROUP LLC
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 39000 7 MILE RD STE 2300
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City | LIVONIA
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State | MI
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Zip | 48152-1006
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Country | US
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Telephone | 734-252-8589
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Fax | 734-415-8427
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Provider Business Mailing Address
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Address Line | 22587 NONA ST
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City | DEARBORN
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State | MI
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Zip | 48124-2737
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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 | OWNER
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Name | KATHERINE WOOD
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Credential |
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Telephone | 734-276-9025
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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 |
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License Number State |
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