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General NPI Number Information
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NPI Number | 1780591891
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Entity Type | Organization
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Legal Business Name | FIDELIS COMMUNITY SERVICES LTD
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 122 N ROBINSON ST
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City | SCHOOLCRAFT
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State | MI
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Zip | 49087-9320
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Country | US
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Telephone | 269-205-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 122 N ROBINSON ST
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City | SCHOOLCRAFT
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State | MI
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Zip | 49087-9320
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Country | US
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Telephone | 269-205-3040
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ELIUD MAINA
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Credential |
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Telephone | 269-205-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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