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General NPI Number Information
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NPI Number | 1790572956
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Entity Type | Organization
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Legal Business Name | PARCLIFE FOUNDATION
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 650 CHURCH ST STE 204205
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City | PLYMOUTH
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State | MI
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Zip | 48170-1689
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Country | US
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Telephone | 734-245-9381
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Fax | 734-884-5935
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Provider Business Mailing Address
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Address Line | 650 CHURCH ST STE 204205
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City | PLYMOUTH
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State | MI
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Zip | 48170-1689
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Country | US
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Telephone | 734-245-9381
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Fax | 734-884-5935
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Authorized Official
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Title or Position | FOUNDER/EXECUTIVE DIRECTOR
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Name | MARI MACFARLAND
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Credential |
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Telephone | 734-245-9381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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