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General NPI Number Information
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NPI Number | 1265738165
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Entity Type | Organization
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Legal Business Name | HEALTHY MOMS AND BABIES
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Dates
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Enumeration Date | 02/10/2011
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 8449 W PARKWAY ST
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City | DETROIT
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State | MI
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Zip | 48239-1157
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Country | US
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Telephone | 313-598-0095
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Fax | 313-274-2835
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Provider Business Mailing Address
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Address Line | 8449 W PARKWAY ST
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City | DETROIT
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State | MI
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Zip | 48239-1157
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Country | US
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Telephone | 313-598-0095
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Fax | 313-274-2835
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. KANICA HARRIS
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Credential |
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Telephone | 313-598-0095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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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 | MI
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