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General NPI Number Information
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NPI Number | 1326203779
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Entity Type | Organization
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Legal Business Name | MY CHOICE HOME CARE, LLC
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 28200 7 MILE RD SUTE#128
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City | LIVONIA
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State | MI
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Zip | 48152-3794
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Country | US
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Telephone | 248-436-4850
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Fax | 248-777-0001
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Provider Business Mailing Address
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Address Line | 28200 WEST 7 MILE ROAD SUTE#128
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City | LIVONIA
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State | MI
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Zip | 48152-3736
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Country | US
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Telephone | 248-436-4850
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Fax | 248-777-0001
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMACHANDRA REDDY GONGATI
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Credential | PH.D.
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Telephone | 248-436-4850
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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 | MI
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