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General NPI Number Information
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NPI Number | 1205164712
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Entity Type | Organization
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Legal Business Name | ASHTHORN HOLDINGS LLC
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Dates
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Enumeration Date | 11/20/2009
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Last Update Date | 11/20/2009
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Provider Practice Location Address
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Address Line | 2300 GENOA BUSINESS PARK DR SUITE 160
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City | BRIGHTON
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State | MI
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Zip | 48114-7367
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Country | US
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Telephone | 810-225-4000
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Fax | 810-225-6150
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Provider Business Mailing Address
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Address Line | 2300 GENOA BUSINESS PARK DR SUITE 160
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City | BRIGHTON
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State | MI
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Zip | 48114-7367
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Country | US
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Telephone | 810-225-4000
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Fax |
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Authorized Official
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Title or Position | OWNER AND CEO
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Name | MRS. SARAH MARY WILLIAMS
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Credential |
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Telephone | 810-225-4000
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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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