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General NPI Number Information
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NPI Number | 1881585347
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Entity Type | Organization
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Legal Business Name | LIFE IS LOVE THINKING
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 11366 WHITEHILL ST
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City | DETROIT
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State | MI
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Zip | 48224-1653
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Country | US
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Telephone | 313-701-8314
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Fax |
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Provider Business Mailing Address
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Address Line | 11366 WHITEHILL ST
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City | DETROIT
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State | MI
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Zip | 48224-1653
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Country | US
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Telephone | 313-701-8314
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Fax |
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Authorized Official
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Title or Position | CEO/PRERSIDENT
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Name | MR. MARVIN CLARK
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Credential | CCHW
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Telephone | 313-701-8314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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