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General NPI Number Information
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NPI Number | 1285994996
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL HOME HEALTH, LLC
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 3700 HIGH ST
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City | ECORSE
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State | MI
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Zip | 48229-1662
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Country | US
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Telephone | 313-457-3713
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 HIGH ST
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City | ECORSE
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State | MI
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Zip | 48229-1662
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Country | US
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Telephone | 313-457-3713
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. DONNA MICHELE HARRIS
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Credential | R.N.
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Telephone | 313-457-3713
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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 | D6072V
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License Number State | MI
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