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General NPI Number Information
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NPI Number | 1841791159
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Entity Type | Organization
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Legal Business Name | FIRST FAIR CARING SERVICES INC
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 16000 W 9 MILE RD STE 420C
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4839
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Country | US
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Telephone | 248-557-0484
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Fax | 248-557-0485
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Provider Business Mailing Address
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Address Line | 16000 W 9 MILE RD STE 420C
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City | SOUTHFIELD
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State | MI
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Zip | 48075-4839
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Country | US
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Telephone | 248-557-0484
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Fax | 248-557-0485
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Authorized Official
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Title or Position | OWNER
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Name | KEISHA V FAIR
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Credential |
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Telephone | 248-557-0484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251H1300X
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Taxonomy Name | Human Factors Physical Therapist
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License Number |
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License Number State |
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