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General NPI Number Information
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NPI Number | 1891825808
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD SERVICE ORGANIZATION
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 882 OAKMAN BLVD STE. C
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City | DETROIT
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State | MI
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Zip | 48238-3710
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Country | US
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Telephone | 313-961-4890
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Fax | 313-867-3675
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Provider Business Mailing Address
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Address Line | 882 OAKMAN BLVD STE. C
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City | DETROIT
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State | MI
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Zip | 48238-3710
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Country | US
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Telephone | 313-961-4890
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Fax | 313-867-3675
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | LINDA JOYCE LITTLE
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Credential |
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Telephone | 313-961-4890
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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 | MI
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