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General NPI Number Information
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NPI Number | 1861034050
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Entity Type | Organization
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Legal Business Name | RIGHT CHOICE CARE CENTER LLC
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 1265 W HURON ST
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City | WATERFORD
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State | MI
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Zip | 48328-3677
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Country | US
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Telephone | 248-481-6730
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Fax |
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Provider Business Mailing Address
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Address Line | 1265 W HURON ST
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City | WATERFORD
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State | MI
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Zip | 48328-3677
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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 | PRESIDENT
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Name | UCHE G OBUA
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Credential |
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Telephone | 248-481-6730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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