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General NPI Number Information
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NPI Number | 1174520290
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Entity Type | Organization
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Legal Business Name | TRIUMPH HOME HEALTH CARE INC
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Dates
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Enumeration Date | 07/05/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 19900 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-1409
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Country | US
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Telephone | 248-426-9714
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Fax | 248-426-9745
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Provider Business Mailing Address
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Address Line | 19900 FARMINGTON RD
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City | LIVONIA
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State | MI
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Zip | 48152-1409
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Country | US
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Telephone | 248-426-9714
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Fax | 248-426-9745
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. GLENN J MOUG
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Credential | CPA
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Telephone | 248-426-9714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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