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General NPI Number Information
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NPI Number | 1881837110
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Entity Type | Organization
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Legal Business Name | AREA AGENCY ON AGING 1-B
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Dates
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Enumeration Date | 04/16/2009
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 29100 NORTHWESTERN HWY SUITE 400
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1046
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Country | US
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Telephone | 248-357-2255
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Fax | 248-948-9691
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Provider Business Mailing Address
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Address Line | 29100 NORTHWESTERN HWY SUITE 400
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1046
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Country | US
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Telephone | 248-357-2255
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Fax | 248-948-9691
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. MICHAEL KARSON
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Credential | DHA, MBA
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Telephone | 248-709-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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