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General NPI Number Information
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NPI Number | 1821537267
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Entity Type | Organization
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Legal Business Name | ALEVE THERAPY CENTER
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 26400 LAHSER RD SUITE 345
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City | SOUTHFIELD
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State | MI
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Zip | 48033-2624
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Country | US
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Telephone | 248-419-4253
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Fax |
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Provider Business Mailing Address
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Address Line | 26400 LAHSER RD SUITE 345
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City | SOUTHFIELD
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State | MI
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Zip | 48033-2624
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Country | US
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Telephone | 248-419-4253
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BERTHA HARRIS
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Credential |
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Telephone | 248-419-4253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health 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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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