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General NPI Number Information
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NPI Number | 1922454537
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Entity Type | Organization
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Legal Business Name | MAAT MIHP
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Dates
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Enumeration Date | 05/12/2016
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Last Update Date | 02/21/2017
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Provider Practice Location Address
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Address Line | 13560 E MCNICHOLS
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City | DETROIT
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State | MI
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Zip | 48205-3651
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Country | US
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Telephone | 248-977-9948
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Fax |
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Provider Business Mailing Address
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Address Line | 13560 E MCNICHOLS RD
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City | DETROIT
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State | MI
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Zip | 48205-3426
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Country | US
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Telephone | 248-977-9948
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE
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Name | ADJWOA CHIKE
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Credential | MA
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Telephone | 810-986-2873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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