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General NPI Number Information
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NPI Number | 1164968673
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Entity Type | Organization
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Legal Business Name | TRIUNE CARE INC
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 24901 NORTHWESTERN HWY STE 309
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2203
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Country | US
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Telephone | 248-565-3039
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Fax |
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Provider Business Mailing Address
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Address Line | 24901 NORTHWESTERN HWY STE 309
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2203
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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 | PRESIDENT
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Name | MARLENE FRANCIS
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Credential |
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Telephone | 248-565-3039
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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 |
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