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General NPI Number Information
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NPI Number | 1871795609
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Entity Type | Individual
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Provider Name | DOROTHY CHINEDU AGUWA LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 17344 W 12 MILE RD STE 207
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City | SOUTHFIELD
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State | MI
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Zip | 48076-6321
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Country | US
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Telephone | 248-924-7439
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Fax | 248-479-5500
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Provider Business Mailing Address
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Address Line | 41650 CLEMENS CIR
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City | NOVI
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State | MI
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Zip | 48377-2864
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Country | US
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Telephone | 248-792-4743
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Fax | 248-479-5500
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801060068
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MI
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