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General NPI Number Information
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NPI Number | 1053177626
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Entity Type | Organization
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Legal Business Name | CHIC HOME CARE L.L.C.
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 1000 S WASHINGTON AVE STE 101
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City | LANSING
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State | MI
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Zip | 48910-1682
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Country | US
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Telephone | 517-896-9164
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 S WASHINGTON AVE STE 101
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City | LANSING
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State | MI
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Zip | 48910-1682
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Country | US
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Telephone | 517-862-1309
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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. ANGELA RENEE MCDUFFEY
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Credential | RN
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Telephone | 517-214-2122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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