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General NPI Number Information
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NPI Number | 1871281121
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Entity Type | Organization
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Legal Business Name | KERI HEART INC
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 18600 JAMES COUZENS FWY
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City | DETROIT
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State | MI
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Zip | 48235-2509
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Country | US
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Telephone | 248-843-5470
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Fax | 313-758-6429
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Provider Business Mailing Address
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Address Line | 18600 JAMES COUZENS FWY
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City | DETROIT
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State | MI
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Zip | 48235-2509
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Country | US
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Telephone | 313-758-6429
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Fax | 313-758-6429
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Authorized Official
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Title or Position | PROVIDER
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Name | MAKULA BROWN
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Credential | FNP
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Telephone | 313-758-6429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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