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General NPI Number Information
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NPI Number | 1003111428
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Entity Type | Organization
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Legal Business Name | NANNY ON WHEELS
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Dates
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Enumeration Date | 01/14/2011
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 17361 RAINBOW DR
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City | LATHRUP VILLAGE
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State | MI
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Zip | 48076-4625
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Country | US
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Telephone | 313-790-0051
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Fax |
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Provider Business Mailing Address
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Address Line | 22200 W 11 MILE RD UNIT 3374
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City | SOUTHFIELD
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State | MI
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Zip | 48037-7095
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Country | US
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Telephone | 313-790-0051
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Fax |
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Authorized Official
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Title or Position | DOULA
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Name | MRS. SUZANNE MARSHALL
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Credential | PCD, CD(DONA)
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Telephone | 313-790-0051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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