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General NPI Number Information
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NPI Number | 1255495149
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Entity Type | Organization
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Legal Business Name | EXCEED HOME HEALTH SYSTEM, INC.
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 17810 TELEGRAPH RD
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City | BROWNSTOWN
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State | MI
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Zip | 48174-9545
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Country | US
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Telephone | 734-941-2120
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Fax | 734-941-0560
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Provider Business Mailing Address
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Address Line | 17810 TELEGRAPH RD
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City | BROWNSTOWN
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State | MI
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Zip | 48174-9545
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Country | US
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Telephone | 734-941-2120
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Fax | 734-941-0560
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. FLORANTE I. TUBAY
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Credential | RN, BSN
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Telephone | 734-941-2120
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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 | 4704236598
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License Number State | MI
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Taxonomy #2
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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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