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General NPI Number Information
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NPI Number | 1144990714
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Entity Type | Organization
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Legal Business Name | ACCELERATED HOSPICE CARE SERVCIES, INC
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Dates
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Enumeration Date | 09/15/2021
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 17520 W 12 MILE RD STE 102
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City | SOUTHFIELD
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State | MI
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Zip | 48076-1943
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Country | US
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Telephone | 248-281-6880
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Fax | 248-281-6871
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Provider Business Mailing Address
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Address Line | 17520 W 12 MILE RD STE 102
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City | SOUTHFIELD
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State | MI
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Zip | 48076-1943
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Country | US
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Telephone | 248-281-6880
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Fax | 248-281-6871
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ADELINA BASTE MCCAULLEY
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Credential | REGISTERED NURSE
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Telephone | 248-281-6880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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