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General NPI Number Information
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NPI Number | 1184261505
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Entity Type | Organization
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Legal Business Name | GULLA CONSULTING GROUP INC
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Dates
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Enumeration Date | 12/04/2019
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 35450 DEQUINDRE RD STE 106
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-4810
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Country | US
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Telephone | 586-999-5085
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Fax | 586-999-5085
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Provider Business Mailing Address
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Address Line | 1259 TENNYSON DR
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City | TROY
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State | MI
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Zip | 48083-5222
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Country | US
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Telephone | 248-703-1157
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | VAIRA ALJAJAWI
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Credential | NHA
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Telephone | 248-703-1157
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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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