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General NPI Number Information
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NPI Number | 1144866500
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Entity Type | Organization
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Legal Business Name | TBIY LLC
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 29476 NORTHWESTERN HWY # 545
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1029
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Country | US
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Telephone | 248-679-1713
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Fax | 248-809-3116
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Provider Business Mailing Address
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Address Line | 25172 MAPLEBROOKE DR
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City | SOUTHFIELD
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State | MI
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Zip | 48033-5282
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Country | US
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Telephone | 313-575-8977
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Fax | 248-809-3116
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA KIMBALL
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Credential |
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Telephone | 248-678-1713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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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