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General NPI Number Information
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NPI Number | 1295732956
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Entity Type | Organization
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Legal Business Name | CONCERNED HOME CARE INC
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 136 N FIRST ST
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City | HARBOR BEACH
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State | MI
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Zip | 48441-1101
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Country | US
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Telephone | 989-479-3101
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Fax | 989-479-3529
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Provider Business Mailing Address
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Address Line | PO BOX 110 136 N FIRST ST
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City | HARBOR BEACH
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State | MI
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Zip | 48441-0110
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Country | US
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Telephone | 989-479-3101
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Fax | 989-479-3529
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. EMELIN JOY TAN
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Credential | BSN RN CEO
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Telephone | 989-479-3101
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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 |
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License Number State |
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