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General NPI Number Information
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NPI Number | 1982153698
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Entity Type | Individual
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Provider Name | MENACHEM YEHUDA HOJDA LMSW
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Gender | Male
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 07/07/2024
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Provider Practice Location Address
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Address Line | 24123 GREENFIELD RD STE 308
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3124
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Country | US
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Telephone | 313-513-6211
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Fax |
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Provider Business Mailing Address
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Address Line | 15141 DARTMOUTH ST
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City | OAK PARK
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State | MI
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Zip | 48237-1588
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Country | US
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Telephone | 248-259-6524
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801100319
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License Number State | MI
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