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General NPI Number Information
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NPI Number | 1205598364
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Entity Type | Organization
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Legal Business Name | FERGUSON NURSE CONSULTING LLC
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 19713 SORRENTO ST
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City | DETROIT
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State | MI
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Zip | 48235-1149
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Country | US
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Telephone | 248-739-2290
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Fax | 248-461-1229
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Provider Business Mailing Address
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Address Line | 19713 SORRENTO ST
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City | DETROIT
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State | MI
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Zip | 48235-1149
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Country | US
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Telephone | 248-739-2290
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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. DAMITA FERGUSON
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Credential | RN, LNHA
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Telephone | 248-739-2290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #3
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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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