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General NPI Number Information
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NPI Number | 1326006370
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Entity Type | Organization
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Legal Business Name | A-1 INTERNATIONAL HOMECARE, INC.
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 02/16/2019
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Provider Practice Location Address
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Address Line | 7150 DIXIE HWY STE 4A
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City | CLARKSTON
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State | MI
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Zip | 48346-2068
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Country | US
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Telephone | 734-459-3758
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Fax | 734-459-0322
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Provider Business Mailing Address
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Address Line | 7150 DIXIE HWY STE 4A
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City | CLARKSTON
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State | MI
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Zip | 48346-2068
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Country | US
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Telephone | 734-459-3758
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Fax | 734-459-0322
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARIA BARTLEY
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Credential | PT
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Telephone | 734-459-3758
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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 | 5400080155
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License Number State | MI
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