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General NPI Number Information
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NPI Number | 1881999696
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Entity Type | Organization
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Legal Business Name | UNITED STATES CATHOLIC CONFERENCE
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 14930 LAPLAISANCE RD STE 123
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City | MONROE
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State | MI
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Zip | 48161-3878
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Country | US
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Telephone | 734-240-3850
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Fax |
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Provider Business Mailing Address
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Address Line | 47 S MONROE ST STE 101
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City | MONROE
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State | MI
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Zip | 48161-2268
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Country | US
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Telephone | 734-770-2119
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Fax | 734-240-3863
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. PAUL NEITMAN
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Credential | LMSW
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Telephone | 734-240-3850
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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 | 580017
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License Number State | MI
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