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General NPI Number Information
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NPI Number | 1174623870
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Entity Type | Organization
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Legal Business Name | HOUSE CALL SERVICES LLC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 8033 E 10 MILE RD SUITE 101
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City | CENTER LINE
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State | MI
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Zip | 48015-1427
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Country | US
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Telephone | 586-977-2900
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Fax | 586-977-2992
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Provider Business Mailing Address
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Address Line | 8033 E 10 MILE RD SUITE 101
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City | CENTER LINE
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State | MI
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Zip | 48015-1427
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Country | US
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Telephone | 586-977-2900
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Fax | 586-977-2992
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Authorized Official
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Title or Position | VICE -PRESIDENT
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Name | BRIAN VESNAUGH
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Credential | NP-C
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Telephone | 586-977-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 4301032630
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License Number State | MI
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