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General NPI Number Information
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NPI Number | 1114393253
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Entity Type | Organization
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Legal Business Name | UNIQUE IN HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 08/12/2015
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 19964 ROGGE ST
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City | DETROIT
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State | MI
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Zip | 48234-3031
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Country | US
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Telephone | 313-466-4091
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Fax | 313-543-3172
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Provider Business Mailing Address
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Address Line | PO BOX 40151
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City | REDFORD
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State | MI
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Zip | 48240-0151
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Country | US
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Telephone | 313-466-4091
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Fax | 313-740-7458
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Authorized Official
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Title or Position | CEO
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Name | CHALVONTE CROSBY
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Credential |
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Telephone | 313-315-0151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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