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General NPI Number Information
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NPI Number | 1184939506
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Entity Type | Organization
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Legal Business Name | MEDEX HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 1637 W BIG BEAVER RD SUITE H
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City | TROY
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State | MI
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Zip | 48084-3540
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Country | US
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Telephone | 734-560-2699
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Fax |
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Provider Business Mailing Address
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Address Line | 4274 JEFFERSON DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-4560
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Country | US
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Telephone | 734-560-2699
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. MEMOONA MALIK
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Credential |
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Telephone | 734-560-2699
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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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