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General NPI Number Information
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NPI Number | 1821323189
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Entity Type | Individual
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Provider Name | RAVINDER KAUR BHATIA-DEOL MSW
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Gender | Female
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 10/05/2009
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Provider Practice Location Address
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Address Line | 30755 MONTPELIER DR
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-5110
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Country | US
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Telephone | 248-583-8837
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Fax |
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Provider Business Mailing Address
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Address Line | 42576 BEECHWOOD DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-2944
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Country | US
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Telephone | 248-345-0622
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6801087368
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License Number State | MI
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