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General NPI Number Information
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NPI Number | 1194034561
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Entity Type | Organization
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Legal Business Name | DEPENABLE & RELIABLE DAY CARE
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Dates
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Enumeration Date | 10/01/2010
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Last Update Date | 10/01/2010
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Provider Practice Location Address
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Address Line | 13320 NORTHSIDE DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-6308
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Country | US
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Telephone | 180-073-2904
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Fax |
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Provider Business Mailing Address
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Address Line | 13320 NORTHSIDE DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-6308
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Country | US
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Telephone | 180-073-2904
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Fax |
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Authorized Official
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Title or Position | HOME HEALTH AIDE
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Name | RONA ROCHELLE BROWN
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Credential |
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Telephone | 313-405-8878
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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 | MI
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