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General NPI Number Information
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NPI Number | 1881166866
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Entity Type | Organization
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Legal Business Name | SENIOR VISITS, LLC
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Dates
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Enumeration Date | 01/01/2019
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 4711 ELMWOOD AVE
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City | ROYAL OAK
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State | MI
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Zip | 48073-1550
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Country | US
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Telephone | 248-291-5287
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Fax |
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Provider Business Mailing Address
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Address Line | 4711 ELMWOOD AVE
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City | ROYAL OAK
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State | MI
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Zip | 48073-1550
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Country | US
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Telephone | 248-291-5287
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARLTON I DAWES
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Credential | MS, ANP-C, CNE
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Telephone | 734-834-1134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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