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General NPI Number Information
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NPI Number | 1982113858
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Entity Type | Organization
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Legal Business Name | PREVISION WITHSTANDING, INCORPORATED
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Dates
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Enumeration Date | 09/23/2017
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Last Update Date | 09/23/2017
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Provider Practice Location Address
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Address Line | 1758 HELEN ST
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City | DETROIT
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State | MI
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Zip | 48207-3654
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Country | US
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Telephone | 313-355-4716
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32166
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City | DETROIT
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State | MI
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Zip | 48232-0166
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Country | US
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Telephone | 313-355-4716
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CARLITA JAVIERE BUFFINGTON
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Credential |
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Telephone | 313-978-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | AS820385603
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number | AS820385603
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number | AS820385603
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | AS820385603
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | AS820385603
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License Number State | MI
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