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General NPI Number Information
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NPI Number | 1023047883
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Entity Type | Organization
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Legal Business Name | MY HOME DOCTOR,P.C.
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 317 ECORSE RD SUITE # 14
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City | YPSILANTI
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State | MI
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Zip | 48198-5787
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Country | US
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Telephone | 866-887-0477
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Fax | 734-448-0130
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Provider Business Mailing Address
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Address Line | 317 ECORSE RD SUITE # 14
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City | YPSILANTI
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State | MI
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Zip | 48198-5787
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Country | US
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Telephone | 866-887-0477
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Fax | 734-448-0130
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ATAUL HAQUE
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Credential |
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Telephone | 866-887-0477
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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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