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General NPI Number Information
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NPI Number | 1285860577
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Entity Type | Organization
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Legal Business Name | AERIAL HOME HEALTH CARE, INC
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 06/02/2009
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Provider Practice Location Address
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Address Line | 19751 E 14 MILE RD
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City | CLINTON TWP
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State | MI
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Zip | 48035-3908
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Country | US
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Telephone | 586-504-4480
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Fax | 248-423-6595
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Provider Business Mailing Address
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Address Line | 19751 E 14 MILE RD
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City | CLINTON TWP
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State | MI
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Zip | 48035-3908
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Country | US
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Telephone | 586-504-4480
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Fax | 248-423-6595
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREGORY JOHN SUBASTIAN
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Credential | MANAGMENT
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Telephone | 586-504-4480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 0000000065
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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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