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General NPI Number Information
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NPI Number | 1831831890
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Entity Type | Organization
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Legal Business Name | KEN'S KREW INC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 421 PARK DRIVE
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City | CLAWSON
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State | MI
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Zip | 48017
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Country | US
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Telephone | 248-561-0918
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 358
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City | CLAWSON
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State | MI
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Zip | 48017-0358
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TERRI NEIPERT
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Credential |
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Telephone | 646-265-7060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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