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General NPI Number Information
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NPI Number | 1992460109
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Entity Type | Organization
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Legal Business Name | METONIC SERVICES LTD
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 26609 HOPKINS ST
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City | INKSTER
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State | MI
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Zip | 48141-3111
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Country | US
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Telephone | 313-278-5141
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Fax | 313-278-5141
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Provider Business Mailing Address
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Address Line | 45297 GREENBRIAR DR
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City | VAN BUREN TWP
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State | MI
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Zip | 48111-5135
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Country | US
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Telephone | 734-740-5713
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL E OBIORA
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Credential | MS, LLP
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Telephone | 734-740-5713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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