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General NPI Number Information
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NPI Number | 1144891995
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Entity Type | Organization
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Legal Business Name | CARDINAL HEALTHCARE, LLC
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Dates
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Enumeration Date | 07/02/2021
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Last Update Date | 07/02/2021
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Provider Practice Location Address
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Address Line | 2012 HAZEL ST.
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City | BIRMINGHAM
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State | MI
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Zip | 48009
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Country | US
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Telephone | 248-593-9909
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Fax | 248-593-9910
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Provider Business Mailing Address
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Address Line | 2012 HAZEL ST.
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City | BIRMINGHAM
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State | MI
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Zip | 48009
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Country | US
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Telephone | 248-593-9909
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Fax | 248-593-9910
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JUDY LYNN MALBURG
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Credential | RN
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Telephone | 248-593-9901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 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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Taxonomy #3
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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 #4
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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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