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General NPI Number Information
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NPI Number | 1962385047
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Entity Type | Organization
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Legal Business Name | ARAB COMMUNITY CENTER FOR ECONOMIC AND SOCIAL SERVICES ACCESS
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 6451 SCHAEFER RD
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City | DEARBORN
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State | MI
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Zip | 48126-2212
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Country | US
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Telephone | 313-945-8138
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Fax | 313-203-3390
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Provider Business Mailing Address
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Address Line | 2651 SAULINO CT
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City | DEARBORN
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State | MI
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Zip | 48120-1556
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Country | US
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Telephone | 313-203-1847
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Fax | 313-203-3390
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Authorized Official
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Title or Position | RCM AND CREDENTIALING MANAGER
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Name | AZYZA IDEIS
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Credential |
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Telephone | 313-203-1837
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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