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General NPI Number Information
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NPI Number | 1902213788
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Entity Type | Organization
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Legal Business Name | CHALDEAN AMERICAN LADIES OF CHARITY
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 2033 AUSTIN DR
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City | TROY
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State | MI
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Zip | 48083-2231
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Country | US
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Telephone | 248-528-0130
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Fax |
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Provider Business Mailing Address
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Address Line | 2033 AUSTIN DR
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City | TROY
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State | MI
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Zip | 48083-2231
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Country | US
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Telephone | 248-528-0130
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SONIA ALTON
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Credential |
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Telephone | 248-528-0130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | MI
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