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General NPI Number Information
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NPI Number | 1932933496
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Entity Type | Organization
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Legal Business Name | HCC CONNECTION LLC
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Dates
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Enumeration Date | 08/28/2024
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 189 COLORADO ST
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City | HIGHLAND PARK
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State | MI
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Zip | 48203-3305
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Country | US
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Telephone | 630-487-0813
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Fax |
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Provider Business Mailing Address
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Address Line | 8200 E JEFFERSON AVE APT 201
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City | DETROIT
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State | MI
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Zip | 48214-2663
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Country | US
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Telephone | 630-487-0813
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOVON C BURKES
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Credential | LLPC
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Telephone | 630-487-0813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 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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