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General NPI Number Information
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NPI Number | 1942033378
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Entity Type | Organization
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Legal Business Name | HEALTHY LITTLES LLC
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Dates
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Enumeration Date | 08/21/2024
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 8439 CHRISTINE ST
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City | WARREN
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State | MI
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Zip | 48093-4915
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Country | US
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Telephone | 313-258-4143
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Fax |
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Provider Business Mailing Address
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Address Line | 8439 CHRISTINE ST
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City | WARREN
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State | MI
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Zip | 48093-4915
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY CLEMONS
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Credential |
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Telephone | 313-258-4143
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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 | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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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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