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General NPI Number Information
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NPI Number | 1316300361
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Entity Type | Organization
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Legal Business Name | AMANI FOSTER CARE, LLC
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Dates
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Enumeration Date | 03/29/2016
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 2689 E SNOW RD
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City | BERRIEN SPRINGS
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State | MI
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Zip | 49103-9637
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Country | US
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Telephone | 614-570-7322
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Fax |
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Provider Business Mailing Address
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Address Line | 5132 MAGNOLIA BLOSSOM BLVD
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City | COLUMBUS
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State | OH
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Zip | 43230-1031
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Country | US
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Telephone | 614-570-7322
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | SULAIMAN BASIR
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Credential |
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Telephone | 614-570-7322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | AF110372910
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License Number State | MI
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