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General NPI Number Information
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NPI Number | 1881365831
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Entity Type | Organization
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Legal Business Name | TOMMIEINC
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 09/21/2021
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Provider Practice Location Address
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Address Line | 20184 WARD ST
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City | DETROIT
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State | MI
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Zip | 48235-1141
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Country | US
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Telephone | 313-862-3519
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Fax | 313-861-9964
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Provider Business Mailing Address
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Address Line | 24801 5 MILE RD STE 26
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City | REDFORD
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State | MI
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Zip | 48239-3653
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Country | US
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Telephone | 313-748-2500
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Fax | 586-238-0301
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS WATTS
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Credential |
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Telephone | 313-748-2500
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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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