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General NPI Number Information
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NPI Number | 1164551495
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Entity Type | Organization
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Legal Business Name | A GENTLE TOUCH PLUS INC
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Dates
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Enumeration Date | 03/04/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 14907 SENECA
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City | REDFORD
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State | MI
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Zip | 48239-3027
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Country | US
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Telephone | 313-592-6489
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 39064
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City | REDFORD
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State | MI
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Zip | 48239-0064
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | JOANN JARDIOLINI
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Credential | BSN
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Telephone | 734-536-1841
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 4704233674
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License Number State | MI
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