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General NPI Number Information
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NPI Number | 1821926478
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Entity Type | Organization
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Legal Business Name | MERIDIAN HEALTH SERVICES
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 1255 N OAKLAND BLVD
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City | WATERFORD
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State | MI
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Zip | 48327-1545
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Country | US
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Telephone | 248-599-8999
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Fax |
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Provider Business Mailing Address
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Address Line | 245 TIMBER TRL APT 203
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City | AUBURN HILLS
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State | MI
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Zip | 48326-1193
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Country | US
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Telephone | 248-247-4990
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Fax |
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Authorized Official
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Title or Position | ASAM CLINICIAN
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Name | LURA MARIE MOROSAN
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Credential | B.S.W
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Telephone | 248-247-4990
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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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