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General NPI Number Information
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NPI Number | 1790795946
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Entity Type | Organization
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Legal Business Name | SOKA SERVICES
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 22511 TELEGRAPH RD SUITE 101
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City | SOUTHFIELD
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State | MI
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Zip | 48033-4115
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Country | US
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Telephone | 248-356-0540
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Fax | 248-356-0539
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Provider Business Mailing Address
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Address Line | PO BOX 250693
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48325-0693
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Country | US
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Telephone | 248-356-0540
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Fax | 248-356-0539
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MS. SHALON DENISE LEE
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Credential | LMSW ACSW CFAE
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Telephone | 248-451-0540
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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 | MI
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