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General NPI Number Information
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NPI Number | 1023346392
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Entity Type | Organization
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Legal Business Name | JEWELL HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 11/25/2009
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Last Update Date | 11/25/2009
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Provider Practice Location Address
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Address Line | 310 CHERRY VALLEY DR 014
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City | INKSTER
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State | MI
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Zip | 48141
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Country | US
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Telephone | 313-208-0874
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Fax |
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Provider Business Mailing Address
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Address Line | 5172 PENTWATER DRIVE
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City | HOWELL
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State | MI
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Zip | 48843
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Country | US
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Telephone | 248-752-6970
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. ODETHA J HOLLIS
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Credential |
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Telephone | 313-208-0874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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