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General NPI Number Information
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NPI Number | 1023489879
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Entity Type | Organization
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Legal Business Name | MI CHOICE HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 30555 SOUTHFIELD RD 300
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City | SOUTHFIELD
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State | MI
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Zip | 48076-7752
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Country | US
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Telephone | 248-385-5861
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Fax |
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Provider Business Mailing Address
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Address Line | 30555 SOUTHFIELD RD 300
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City | SOUTHFIELD
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State | MI
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Zip | 48076-7752
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARICEL M SAJONAS
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Credential | RN
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Telephone | 248-890-7766
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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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