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General NPI Number Information
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NPI Number | 1164817227
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Entity Type | Organization
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Legal Business Name | HIGHLANDER HUMAN SERVICES
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Dates
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Enumeration Date | 04/05/2015
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 14821 METTETAL ST
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City | DETROIT
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State | MI
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Zip | 48227-1804
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Country | US
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Telephone | 313-320-2646
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Fax |
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Provider Business Mailing Address
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Address Line | 14821 METTETAL ST
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City | DETROIT
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State | MI
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Zip | 48227-1804
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Country | US
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Telephone | 313-320-2646
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR
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Name | MS. PAMELA HIGDON
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Credential | HHA
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Telephone | 313-320-2646
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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 | MI
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