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General NPI Number Information
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NPI Number | 1801099494
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Entity Type | Organization
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Legal Business Name | RAF CARE SERVICES LCC
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Dates
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Enumeration Date | 06/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 21776 COLONY PARK CIR #205
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City | SOUTHFIELD
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State | MI
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Zip | 48076-1689
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Country | US
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Telephone | 248-943-0981
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Fax | 248-358-9114
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Provider Business Mailing Address
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Address Line | 21776 COLONY PARK CIR #205
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City | SOUTHFIELD
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State | MI
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Zip | 48076-1689
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Country | US
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Telephone | 248-943-0981
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Fax | 248-358-9114
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Authorized Official
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Title or Position | PROPRIETOR
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Name | ROSE N NDASI
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Credential | SOCIAL WORKER
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Telephone | 248-943-0981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | D13424
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License Number State | MI
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