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General NPI Number Information
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NPI Number | 1962018457
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Entity Type | Organization
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Legal Business Name | A BABY'S LIFE, LLC
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Dates
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Enumeration Date | 09/20/2020
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 4777 E OUTER DR
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City | DETROIT
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State | MI
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Zip | 48234-3241
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Country | US
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Telephone | 313-717-4898
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Fax |
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Provider Business Mailing Address
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Address Line | 965 RAVINE TERRACE CT
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2720
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Country | US
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Telephone | 313-717-4898
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | STEPHANIE GRAVES
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Credential |
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Telephone | 313-717-4898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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