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General NPI Number Information
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NPI Number | 1033818380
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Entity Type | Organization
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Legal Business Name | ABILITY INTEGRATED CARE
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 5079 HARDWOODS DR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-2733
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Country | US
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Telephone | 313-598-3631
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Fax |
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Provider Business Mailing Address
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Address Line | 5079 HARDWOODS DR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-2733
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Country | US
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Telephone | 313-598-3631
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | MR. ROBERT MAGEE
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Credential | KRYSTAL MAGEE
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Telephone | 313-598-3631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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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 | 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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